摘要
目的了解住院电子医嘱的不合理用药情况,促进安全、有效、经济地用药。方法收集我院儿科不合理电子医嘱1 239例,对其类型、涉及的药物种类和具体品种、各科室不合理医嘱数量进行统计分析。结果位居前3位的不合理用药类型为药物剂量不当、输液速度不当及电脑输入错误。涉及药物最多者为抗菌药物,占27.93%。所有科室中,重症医学一科不合理医嘱数最多,达92例。相对于内科病房,康复科和外科病房发生不合理用药例数较少。结论药师对电子医嘱的审核能保障用药安全,同时需要药师和临床医护人员严格执行查对制度,减少用药错误。
Objective To investigate the irrational electronic medication orders in pediatric inpatients and improve safe,effective and economical drug use. Methods Totally 1 239 irrational electronic medication orders were collected. The types of the irrational medication orders,medicines involved and numbers of irrational medication orders in all departments were analyzed. Results The top three irrational medication orders were improper dosage,improper transfusion speed and computer input error. The irrational use of antibiotics accounted for the largest proportion,reached 27. 93%. ICU-1 department had the most cases（ n = 92） of irrational medication orders. Compared to medical wards,surgical wards and rehabilitation departments had less irrational medication orders. Conclusion Reviewmedication orders of pharmacists can ensure safety of drug use,and the check system should be performed strictly by pharmacists and clinical staffs to reduce the inappropriate medication.
出处
《实用药物与临床》
CAS
2015年第2期245-248,共4页
Practical Pharmacy and Clinical Remedies
关键词
儿科
电子医嘱
不合理用药
Pediatrics department
Electronic medication orders
Irrational medication
