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某院静配中心儿童静脉输液不合理处方分析

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目的 对我院静脉用药调配中心审核干预的处方进行统计分析,为儿科合理使用静脉药品提供参考依据.方法 调取静脉配置中心2022 年4 月至2023 年4 月189637 份儿童静脉输液处方进行审核,对有干预或反馈记录的不合理用药处方进行分析.结果 汇总发现儿童静脉输液不合理处方810 份,约占所有静脉输液处方的0.427%.不合理处方类型主要包括用法用量不适宜、溶媒选用不适宜、药物配制浓度不适宜、药物配伍禁忌和超说明书用药,构成比分别为 36.5%、23.8%、18.0%、12.1%和 6.5%;各临床科室不合理处方排名前三名分别是PICU、CICU及血液肿瘤科,占比依次为24.1%、18.0%和16.8%.结论 目前我院儿童静脉输液仍存在不合理处方,审方药师应及时发现并进行干预,确保儿童静脉输液安全、合理.
Analysis of Irrational Prescription of Intravenous Infusion for Children in Pharmacy Intravenous Admixture Services in a Hospital
OBJECTIVE To anlalyze the irrational prescriptions of intravenous infusion for children,and to pro-vide a reference basis for the rational use of intravenous drugs by pediatrics.METHODS 189637 pediatric intrave-nous infusion prescriptions prescribed from April 2022 to April 2023 were reviewed,and the irrational prescriptions with intervention or feedback records were analyzed.RESULTS A total of 810 unreasonable prescriptions for intra-venous infusion in children were found,accounting for about 0.427%of all intravenous infusion prescriptions.The types of unreasonable prescriptions mainly included inappropriate dosage,inappropriate solvent,inappropriate concen-tration of drug,contraindications to drug compatibility and off-label use,with composition ratios of 36.5%,23.8%,18.0%,12.1%and 6.5%,respectively.From the incidence rate of unreasonable prescription in clinical depart-ment,the top three clinical department were PICU,CICU and hemato-oncology department,accounting for 24.1%,18.0%and 16.8%,respectively.CONCLUSION At present,there are still unreasonable prescription for intrave-nous infusion of children in our hospital,and the pharmacist should detect and intervene in time to ensure the safety and reasonableness of intravenous infusion for children.

Pharmacy intravenous admixture serviceChildIntravenous fluidsUnreasonable medical advicePrescription review

郑丽萍、江闵慧、伍梦娜、姜华

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福建省儿童医院(上海儿童医学中心福建医院)福建医科大学妇儿临床医学院,福建福州 350011

静配中心 儿童 静脉输液 不合理处方 处方审核

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(4)
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