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某院2022年静脉用药调配中心药物咨询分析

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目的 分析医院静脉用药调配中心(PIVAS)的药物咨询情况,为提高临床合理用药提供参考。方法 回顾性分析医院PIVAS 2022 年 1 月至 12 月的 2 339 份药物咨询记录,按咨询的人员、方式、科室、内容和药物分类进行统计与分析,并运用帕累托图分析咨询的主要因素和次要因素。结果 2 339 份药物咨询记录中,咨询人员为护士(62。08%)和医师(37。92%);咨询方式主要为电话咨询(83。75%);咨询科室主要为肿瘤科(32。15%)、血液科(26。34%)、干部科(17。14%);药物分类主要为抗肿瘤药物(33。52%)、肠外营养药物(26。72%)、心脑血管系统药物(23。98%)。帕累托图分析结果显示,用法用量、超药品说明书用药、联合用药与相互作用是医师咨询的主要因素;药物配置方法和贮藏方法是护士咨询的主要因素。结论 医院PIVAS开展药物咨询可为临床医护人员提供精准药学服务和用药指导,保障临床用药安全。
Drug Consultation in Pharmacy Intravenous Admixture Service of a Hospital in 2022
Objective To analyze the drug consultation situation in the pharmacy intravenous admixture service(PIVAS)in a hospital,and to provide a reference for improving clinical rational drug use.Methods A retrospective analysis was conducted on 2 339 drug consultation records from January to December 2022 in the PIVAS of a hospital.Statistics and analysis were conducted based on the consultants,consultation methods,consulted departments,consultation contents,and categories of drugs.Pareto chart was used to analyze the main and secondary factors of consultation.Results Among the 2 339 drug consultation records,the consultants were nurses(62.08%)and physicians(37.92%),the main consultation method was telephone consultation(83.75%),the mainly consulted departments mainly included the Department of Oncology(32.15%),the Department of Hematology(26.34%),and the Department of Cadre(17.14%),the main categories of drugs were anti-tumor drugs(33.52%),parenteral nutrition drugs(26.72%),and cardiovascular system drugs(23.98%).Pareto chart analysis results showed that drug usage and dosage,off-label drug use,combined drug use and drug-drug interaction were the main factors in the consultation content of physicians,while the drug configuration method and storage methods were the main factors in the consultation content of nurses.Conclusion By conducting drug consultations,the PIVAS in the hospital can provide precise pharmaceutical care and medication guidance for clinical medical staff to ensure the safety of clinical medication.

drug consultationPareto chartPIVASpharmaceutical caremedication guidance

徐芹、程苗苗、谢继青、董玉波、马晓雯

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中国人民解放军第九六〇医院,山东 济南 250031

药物咨询 帕累托图 静脉用药调配中心 药学服务 用药指导

山东省自然科学基金(第一批)(2020)

ZR2020QH349

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(11)
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