Working pattern for rationality checking of the orders in pharmacy intravenous admixture center
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摘要: 目的 探讨静脉用药集中调配中心(PIVAS)合理用药审核的工作模式。 方法 采用EXCEL2007统计分析了2011年1月至10月PIVAS医嘱审核干预情况以及干预成功率的变化,评价采用规范化医嘱审核干预工作模式的合理性和实用性。 结果 建立了实时审核干预流程,由专人审核医嘱,登记问题医嘱审核登记表,避免了对不合理医嘱漏审错审的情况,提高了医嘱审核质量;加强了与病区之间的沟通联系,有利于医药护互助互补,最大程度规避不合理医嘱的安全隐患,共同保障患者用药安全。 结论 我院静脉配液中心建立的医嘱实时审核干预流程,为药师审核干预临床的问题医嘱提供了标准化流程和规范化方法。Abstract: Objective To describe the work pattern for rationality checking of the orders in Pharmacy intravenous admixture center. Methods Irrational orders checked from Jan. to Oct. in 2011 were analyzed to evaluate the rationality and practicability of the normalized work pattern for real-time checking the rationality of drug use. Results The process of real-time checking and interfering the irrational orders was set up. The order checking was carried out by assigned people, the omission mistake was avoided in checking irrational orders and the rationality of orders was improved, the communication with doctors and nurses was strengthened. Conclusions The establishment of work pattern for real-time checking and interfering of the irrational orders consistent with the standard of hospital supplied a standardized and normalized method for the checking of rational drug use.
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