Analysis of unreasonable medical orders in pharmacy intravenous admixture service of a maternal and child health hospital and its intervention countermeasures
Objective To analyze and summarize the unreasonable medical orders received by our hospital's pharmacy intravenous admixture service(PIVAS),so as to provide references for pharmacists'rational review of prescriptions and propose strategies and suggestions for irrational drug use,thereby promoting rational drug use in the clinic.Methods Unreasonable medical orders manually reviewed by the pharmacy intravenous admixture service of our hospital from July 2023 to June 2024 were collected,and relevant intervention countermeasures were analyzed.Unreasonable medical orders and their intervention,distribution of wards with unreasonable medical order,types of unreasonable medical orders and inappropriate frequency of drug administration were analyzed.Results From July 2023 to June 2024,a total of 48 055 medical orders were reviewed in pharmacy intravenous admixture service,among which 108 orders were found to be unreasonable,accounting for 2.25‰.With the intervention of reviewing pharmacists,the modification rate of unreasonable medical orders by physicians reached 96.30%.The wards with the highest numbers of unreasonable medical orders were the pediatric respiratory ward,pediatric hematology-rheumatology wards,pediatric gastroenterology-infection wards,pediatric surgical wards,and neonatal+neonatal intensive care wards,accounting for 84.26%,which were the main areas of irrational drug use.The 108 unreasonable medical orders could be divided into 7 categories,such as inappropriate dosage,inappropriate frequency of administration,inappropriate choice of solvent,inappropriate concentration of drug dilution,inappropriate drug selection,inappropriate route of administration and other inappropriate drug use.Among them,inappropriate dosage accounted for 55.6%,which was the main irrational drug use,followed by inappropriate frequency of administration,accounting for 13.0%.Conclusion The rational review of clinical prescriptions by thereviewing pharmacists of pharmacy intravenous admixture service can timely identify and correct unreasonable medical orders,reduce the occurrence of such orders,and promote rational drug use in the clinical setting,ensuring patients'medication safety.
Pharmacy intravenous admixture serviceUnreasonable medical ordersVenous transfusionIntervention countermeasures
万方数据
维普
