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参数赋值法在我院肠外营养液处方审核中的应用
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| 篇名： | 参数赋值法在我院肠外营养液处方审核中的应用 |
| TITLE： | Application of parameter assignment method in the review of parenteral nutrition prescription in our hospital |
| 摘要： | 目的为提高审方药师的工作效率、保障患者安全使用肠外营养液提供参考。方法在静脉用药调配中心（PIVAS）MATE系统上开发肠外营养液审方模块，依据肠外营养液药品说明书及相关资料，对肠外营养液处方的审方模块进行参数赋值，设置阈值及计算公式，由系统自动对处方进行判定。统计我院2020年1－8月和2022年1－8月的肠外营养液不适宜处方类型和数量，对肠外营养液审方模块应用前后的不适宜处方审出率进行比较。结果该模块实现了肠外营养液的离子浓度、热氮比、糖脂比、葡萄糖浓度、糖胰比、复方制剂最大用量、必须搭配使用的药品、配伍禁忌、重复用药、年龄限制等基础属性参数和自定义参数的信息化审核，大大缩短了审方时间，原来2人审核100张处方大约需要33min，审方模块上线后只需要6s；与2020年1－8月相比，2022年1－8月的肠外营养液不适宜处方平均审出率由0.582%提升至1.416%（P＜0.05）。结论我院利用参数赋值法建立的肠外营养液审方模块，大大减少了药师漏审、错审的现象，降低了肠外营养液处方的配置风险，减轻了审方药师的工作压力，保障了患者的用药安全。 |
| ABSTRACT： | OBJECTIVE To provide reference for improving the working efficiency of prescription review for pharmacists and ensuring the safe use of parenteral nutrition solution in patients. METHODS The review module of parenteral nutrition prescription was developed with the pharmacy intravenous admixture services（PIVAS） MATE system. According to the instructions and relevant information of parenteral nutrition solution， the parameters to the review module for parenteral nutrition solution prescriptions were assigned， thresholds and calculation formulas were set， and the prescription was automatically determined by the system. The type and quantity of the inappropriate prescriptions of parenteral nutrition solution in our hospital from January to August 2020 and from January to August 2022 were counted， and the review efficiency of inappropriate prescriptions was compared before and after the application of the review module of parenteral nutrition solution prescription. RESULTS The module realized the informatized review of basic attribute parameters and custom parameters of parenteral nutrition solution prescription， such as ion concentration， ratio of heat to nitrogen， ratio of sugar to lipid， glucose concentration， ratio of sugar to insulin， maximum dosage of compound preparation， necessary drug collocation， incompatibility， repeated drug use， age limit， etc. The module also shortened the review time greatly. It took about 33 minutes for two pharmacists to review 100 prescriptions， and only took 6 seconds after the module went online. Compared with January to August in 2020， the average approval rate of inappropriate prescriptions for parenteral nutrition solution increased from 0.582% to 1.416% during the corresponding period in 2022 （P＜0.05）. CONCLUSIONS The review module of parenteral nutrition solution prescription established by parameter assignment method in our hospital can greatly reduce the phenomenon of missed and wrong review by pharmacists， reduce the risk of parenteral nutrition solution dispensing， reduces the work pressure of pharmacists reviewing prescriptions， and ensures the drug safety of patients. |
| 期刊： | 2022年第33卷第22期 |
| 作者： | 康健，聂会娟，陈晓旭，钞艳惠，周晓燕，乔高星，刘胜利，杜书章 |
| AUTHORS： | KANG Jian， NIE Huijuan，CHEN Xiaoxu，CHAO Yanhui，ZHOU Xiaoyan，QIAO Gaoxing，LIU Shengli，DU Shuzhang |
| 关键字： | 肠外营养液；处方审核；参数赋值法；工作效率；合理用药 |
| KEYWORDS： | parenteral nutrition solution； prescription |
| 阅读数： | 220 次 |
| 本月下载数： | 11 次 |
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