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本院静脉用药调配中心中药注射剂不适宜医嘱分析

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目的 通过分析本院2021年6月-2022年5月静脉用药调配中心配置的中药注射剂的使用情况及特点,探讨不适宜医嘱及其相关因素.促进临床中药注射剂安全、有效、合理的使用.方法 依据昆明市延安医院静脉用药调配中心配置的中药注射剂品种及使用特点,回顾性审核、统计和分析不适宜医嘱.结果 经统计,本院静脉配置中心不适宜医嘱共计632组,中药注射剂不适宜医嘱229组,中药注射剂占比36.23%.不适宜医嘱的情况主要集中在超浓度/浓度过低(51.36%)、忌配(38.36%)、超量(20.00%)、溶媒规格错误(15.60%).结论 中药注射剂在昆明市延安医院存在0.03%的不合理使用率,不合理因素具有代表性,可作为安全、合理和经济用药的依据.
Analysis on unsuitable medical orders of traditional Chinese medicine injections in PIVAS of our hospital
Objective To explore inappropriate medical orders and its related factors by analyzing the use and characteristics of traditional Chinese medicine(TCM)injections configured in the Pharmacy Intravenous Admixture Services(PIVAS)from June 2021 to June 2022 in our hospital.To promote the safe,effective and rational use of clinical TCM injections.Methods Based on the variety and use characteristics of TCM injections configured in the PIVAS of Kunming Yan'an Hospital,retrospectively reviewed,counted and analyzed the unsuitable medical orders.Results There were 632 unsuitable medical orders in PIVAS of our hospital,and 229 unsuitable medical orders for TCM injections,accounting for 36.23%of TCM injections.The cases that were not suitable for medical orders mainly centered on over/under concentration(51.36%),contraindication(38.36%),overdose(20.00%),and wrong specification of solvent(15.60%).Conclusions The unreasonable utilization rate of TCM injection in Yan'an Hospital of Kunming is 0.03%,and the unreasonable factors were representative,which could be used as a references for safe,rational and economical drug use.

tradition Chinese medicine injectionmedical orders analysisprescription comment

张悦、张雪、赵方允

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昆明市延安医院药学部,云南 昆明 650051

中药注射剂 医嘱分析 不合理用药 处方点评

云南省高层次卫生计生技术人才培养经费项目

H-2019026

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(2)
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