目的：分析本院静脉药物配置中心(PIVAS)的不合理用药情况，了解不合理用药情况，提高临床用药的安全性、合理性、有效性，为静脉药物集中配置工作的进一步开展提供参考。方法对本院2014年1~9月药物配置中心配置静脉用药情况进行归类、总结、分析。结果共点评静脉药物配置中心配置静脉用药医嘱156845份，其中用药不合理医嘱4047份，医嘱合格率为97.42%。不合理用药情况主要分为药品溶媒选择不合适、药品超剂量应用、药品应用时间(批次)安排不合理、药品存在配伍禁忌等几个方面。结论临床药师通过定期分析、总结，可及时反馈临床药物应用中存在的问题，从而促进合理用药，保证患者的用药安全。%Objective To analyze the unreasonable drug use in Pharmacy Intravenous Admixture Service (PIVAS) of our hospital to understand the unreasonable drug use,and to improve safety,reasonability,and effectiveness of clinical medi-cation in order to provide reference for further carrying out the centralized configuration work of intravenous drug. Methods The configuration of intravenous drug from January to September 2014 of PIVAS was classified,summarized, and analyzed. Results Altogether 156 845 doctor’s advice of configuration of intravenous drug of PIVAS were remarked on, among them,4047 prescriptions were unreasonable drug use,and the qualification rate was 97.42%.The condition of unreasonable drug use included mainly inappropriate selection of drug’s solvent,overdose use of drug,improper arrange-ment of drug’s use time (batch),and incompatibility of drug and so on. Conclusion Clinical pharmacist can respond timely the existed problem in clinical drug application so as to promote rational drug use and guarantee medication safety.
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