摘要
目的基于帕累托图对医院静脉用药调配中心(PIVAS)抗肿瘤药物不合理医嘱进行分析。方法选择2021年4月至2023年3月北京大学肿瘤医院暨北京市肿瘤防治研究所PIVAS接收的183570份医嘱,采用帕累托图进行分析,统计不合理医嘱情况。结果183570份医嘱中,有不合理医嘱657份,占比0.36%。通过帕累托图分析可知,不合理医嘱主要因素为溶媒用量不合理、溶媒选择不合理、医嘱提示错误;次要因素为用药剂量不合理;一般因素为用药途径不适宜、包装规格不适宜、医嘱说明未标注、配液属性不适宜及其他。结论基于帕累托图对医院PIVAS抗肿瘤药物进行不合理医嘱分析,可更加直观地发现问题,且更易于发现主次要因素,从而有利于将问题及时反馈审方药师,便于审核,更有针对性地进行医嘱用药干预,减少不合理医嘱发生,进而为临床用药提供安全保障。
Objective:Based on pareto chart,to analyze the irrational orders of antineoplastic drugs in PIVAS.Methods:From April 2021 to March 2023,183570 medical orders received by PIVAS of Peking University Cancer Hospital and Beijing Institute of Cancer Prevention and Treatment were selected,and analyzed by pareto chart,and the unreasonable medical orders were counted.Results:Among 183570 medical orders,657 were unreasonable,accounting for 0.36%.Through pareto chart analysis,we can know that the main factors of unreasonable medical advice are unreasonable solvent dosage,unreasonable solvent selection and wrong medical advice prompt;The secondary factor is unreasonable dosage;The general factors are inappropriate route of medication、inappropriate packaging specifications、unmarked medical instructions、inappropriate properties of liquid preparation and others.Conclusion:Based on pareto chart's analysis of unreasonable medical orders of PIVAS antineoplastic drugs in hospital,problems can be found more intuitively,and primary and secondary factors can be found more easily,which is beneficial to feed back the problems to the examining pharmacists in time,facilitate the audit,intervene the medical orders more pertinently,reduce the occurrence of unreasonable medical orders,and then provide safety guarantee for clinical medication.
作者
张静博
孟慧慧
张艳华
Zhang Jingbo;Meng Huihui;Zhang Yanhua(Department of Pharmacy,Peking University Cancer Hospital and Institute,Key Laboratory of Carcinogenesis and Translational Research of Education Ministry,Beijing 100142,China)
出处
《生命科学仪器》
2024年第4期1-4,共4页
Life Science Instruments
关键词
静脉用药调配中心
帕累托图
不合理医嘱
药师
抗肿瘤药
Intravenous medication dispensing center
Pareto diagram
Unreasonable medical advice
Pharmacists
Antineoplastic drug
