271.临床药师干预对降低静脉调配中心不合理用药的影响.pdf

临床药师干预对降低静脉调配中心合理用药的影响

摘要：目的：探讨临床药师预对降低静脉用药调配中心合理用药的影响

方法：采用回顾性分析方法，院管理信息系统HIS采集强临床药师

预前各6个静脉输液处方数据，比较预前处方审率合理处方率

合理处方原因分析合理处方的潜在风险等级等指标结果预，审

处方率更正合理处方率明显高于预前，合理处方率明显低于预前

2

x=29942.256,426.256,89.232,P0.001溶媒选择当明显低于预前，给

2

药频次合理使用明显高于预前x=10.558,33.334,P0.05,P0.001高风

险处方中风险处方的构比均明显低于预前，低风险合理处方构比明显

2

高于预前x=11.202,51.962,78.746,P0.05,P0.001，程度潜在风险的

2

合理处方的更正率均明显高于预前x=4.399,101.884,11.020,P0.05,

P0.001结论：临床药师预降低静脉用药调配中心合理用药，规避

合理处方的安全患，保障患者用药安全，但注意给药频次的合理使用

关键词：静脉用药调配中心临床药师合理用药

Theimpactofclinicalpharmacistsinterventionforreduceirrationaldruguseof

pharmacyintravenousadmixtureservice

AbstractobjectiveTostudyeffectofclinicalpharmacistsinterventionforreduce

iationaldruguseofpharmacyintravenousadmixtureservice.MethodsUsedretrospective

analysismethod,thesixmonthsbeforeandaftertheinterventionofintravenousinfusionof

prescriptiondatawerecollectedfromthehospitalmanagementinformationsystem,then

prescriptionauditrate,unreasonableprescriptionrates,iationaldruguseanalysisofthecauses,

potentialriskleveloftheunreasonableprescriptionwerecomparedbeforeandafterintervention.

ResultAftertheintervention,theauditprescriptionrates,unreasonableprescriptioncoect

ratesweresignificantlyhigherthanthatofbeforeintervention,unreasonableprescriptionrates

weresignificantlylowerthanbeforetheinterventionx2=29942.256,426.256,89.232,P0.001;

Improperselectionsolventweresignificantlylowerthanthatbeforeintervention,dosing

frequencynotreasonableuseweresignificantlyhigherthanbeforeinterventionx2=11.202,

51.962,78.746,P0.0