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[摘要]
目的 对南京医科大学附属儿童医院静脉用药集中调配中心审核干预的医嘱进行统计分析,为临床儿科合理用药提供参考依据。方法 将2017年1~9月南京医科大学附属儿童医院静脉用药集中调配中心34 807组医嘱数据进行归类统计。结果 审核的医嘱中不合理医嘱占1.59%,主要因素包括溶媒选用不当、配制药品浓度不当、给药剂量不当,用法不当和录入错误,构成比分别为7.58%、11.73%、15.88%、6.32%和58.48%。结论 药师通过审核医嘱,能及时介入不合理医嘱并进行干预,降低临床静脉给药不良反应的发生率,保证儿童用药合理性和安全性,提升儿科用药的专业化。
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[Abstract]
Objective To statistically analyze the intervened prescriptions by examining in the pharmacy intravenous admixture service of Children's Hospital of Nanjing Medical University from January to September in 2017, so as to provide a reference for clinical pediatric rational drug use. Methods The data on 34 807 groups of medical prescriptions were classified and collected from the pharmacy intravenous admixture service of Children's Hospital of Nanjing Medical University from January to September in 2017.Results The irrational medical prescriptions accounted for 1.59% of the total medical prescriptions checked. The irrational factors included improper selection of solvents, improper preparation of drug concentration, incorrect dosage, improper medication, and typing errors, and the constituent ratio was 7.58%, 11.73%, 15.88%, 6.32%, and 58.48%. Conclusion Irrational medical prescriptions can be found and intervened in time by examination of prescriptions of pharmacists, which not only can reduce the incidence of intravenous administration clinical adverse reactions, but also ensure the rationality and safety of children's medication, and will promote pediatric specialization.
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