静脉用药调配中心不合理用药处方的帕累托图分析

摘要

目的 通过对静脉用药调配中心(PIVAS)不合理用药处方的帕累托图分析,寻找造成不合理用药现象的主要因素,及时了解不合理用药集中趋势,为临床药师工作重点提供依据.方法 对我院静脉用药调配中心2013年至2014年共2 769张不合理处方进行分类整理,划分10类并运用帕累托图进行分析.结果 溶媒选择不适宜、溶媒剂量不适宜是造成静脉用药调配中心不合理用药处方的主要因素,给药途径不适宜、药品剂量不适宜是造成不合理用药的次要因素,其余6项是造成不合理用药处方的一般因素.结论 利用帕累托图,静脉用药调配中心针对造成不合理用药的主要因素进行有效干预并制定改进方案,从而提高临床用药的合理性.%Objective Through the Pareto chart analysis of the unreasonable prescription of pharmacy intravenous admixture services (PIVAS),we found the main factors of irrational drug use,and the tendency of irrational drug concentration,to provide the basis for clinical pharmacists' work.Methods Divided 2 769 irrational prescriptions of PIVAS from 2013 to 2014 into 10 categories and analyzed by Pareto chart.Results Unreasonable solvent selection and solvent dose is the main factor of causing PIVAS irrational prescription,unreasonable drug rotute,and drug dose are the secondary factors of causing unreasonable drug use,The remaining 6 items are the general factors.Conclusion Using Pareto chart,the unreasonable use were effectively intervented,to improve the rationality of clinical use of drugs.