Effects of Responsible Pharmacists on Irrational Medical Order Intervention in Pharmacy Intravenous Ad-mixture Service
10.6039/j.issn.1001-0408.2015.29.41
- VernacularTitle:责任药师在静脉药物配置中心不合理医嘱干预中的作用
- Author:
Jing MA
;
Lu ZHANG
;
Niumin WANG
;
Jun LYU
;
Qinying LUO
- Publication Type:Journal Article
- Keywords:
Pharmacy Intravenous Admixture Service;
Responsible pharmacist;
Irrational medical order;
Analysis;
Intervention effect
- From:
China Pharmacy
2015;(29):4148-4150
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To probe the role of responsible pharmacist on irrational medical order intervention in Pharmacy Intra-venous Admixture Service (PIVAS),and to improve rational drug use in our hospital. METHODS:501 115 medical orders from PIVAS of our hospital during Jan.-Jun. 2012 were analyzed retrospectively. Irrational medical orders of 499 189 medical orders dur-ing Jul.-Dec. 2013 were classified and summarized after the establishment of responsible pharmacists system and pharmacist inter-vention. RESULTS:The number of irrational medical orders was 918(0.183 2%),and decreased to 448(0.089 7%)after interven-tion. Irrational medical orders of solvent selection reduced from 134(0.026 7%)to 69(0.013 8%);irrational medical orders of sol-vent volume reduced from 435(0.086 8%) to 206(0.041 3%);irrational medical orders of drug dosage reduced from 241(0.048 1%)to 117(0.023 4%);irrational medical orders of drug compatibility reduced from 51(0.010 2%)to 28(0.005 6%);irrational medical orders of dosing frequency reduced from 17(0.003 4%)to 2(0.000 4%). CONCLUSIONS:What responsible pharmacists intervened in the irrational doctor’s orders of intravenous drip was effective and feasible in PIVAS,improved rational drug use and guaranteed the safety of drug use.