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我院PIVAS审方平台的优化与实践
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| 篇名： | 我院PIVAS审方平台的优化与实践 |
| TITLE： | |
| 摘要： | 目的：优化我院静脉用药调配中心（PIVAS）审方平台，为儿科临床安全、有效、合理用药提供参考。方法：收集整理我院医师的不合理用药记录、处方点评记录等，并查阅药品说明书、《中国国家处方集：化学药品与生物制品卷（儿童版）（2013）》等资料，编订我院PIVAS审方指南；在此基础上，优化PIVAS审方平台；以日均医嘱审核时间、所需审方药师数、日均与临床医师电话沟通次数、日均不合理医嘱条数、不合理医嘱检出率为指标评价优化前后的审方效率及准确率。结果：编订的PIVAS审方指南简单明了、查阅方便；优化并实施PIVAS审方平台后，日均医嘱审核时间、所需审方药师数、日均与临床医师电话沟通次数、日均不合理医嘱条数分别减少33.33％、50.00％、57.89％、57.14％，不合理医嘱检出率由1.38％降至0.54％，差异均有统计学意义（P＜0.05），表明审方效率及准确率明显提升。结论：优化后的PIVAS审方平台可显著提高医嘱审核的规范性及合理用药水平，有利于儿科临床有效合理用药。 |
| ABSTRACT： | OBJECTIVE： To optimize prescription audit platform of PIVAS in our hospital， and to provide reference for rational drug use in pediatric department. METHODS： The records of irrational drug use and prescription comment record of physicians were collected and sorted out. Retrieved from drug instruction， China’s National Prescription Collection： Chemicals and Biological Products Volume （Children’s Edition） （2013） and other data， PIVAS prescription audit guideline of our hospital was filed. Based on it， PIVAS prescription audit platform was optimized. The efficiency and accuracy of prescription audit were evaluated using average daily medical order audit time， the number of audit pharmacists， average daily number of telephone communication with clinicians， average daily number of irrational medical orders， the detection rate of irrational medical order as indexes. RESULTS： The revised PIVAS prescription audit guideline is simple and easy to consult. After optimizing and implementing PIVAS prescription auditor platform， average daily medical order audit time， the number of audit pharmacists， average daily number of telephone communication with clinicians， average daily number of irrational medical orders decreased by 33.33 ％， 50.00 ％， 57.89 ％， and 57.14 ％， respectively； the detection rate of irrational medical orders decreased from 1.38％ to 0.54％， with statistical significance （P＜0.05）， which indicated the efficiency and accuracy of prescription audit were improved significantly. CONCLUSIONS： The optimized PIVAS prescription audit platform can significantly improve the standardization of medical order audit and the level of rational drug use， and contribute to rational drug use in pediatric department. |
| 期刊： | 2019年第30卷第3期 |
| 作者： | 王绚，胡雅慧，赵耀，仇锦春 |
| AUTHORS： | WANG Xuan，HU Yahui，ZHAO Yao，QIU Jinchun |
| 关键字： | 静脉用药调配中心；审方指南；中心审方平台；医嘱审核；儿科；合理用药 |
| KEYWORDS： | Pharmacy intravenous admixture service； Prescription audit guideline； Central prescription audit platform； Medical order audit； Pediatrics； Rational drug use |
| 阅读数： | 411 次 |
| 本月下载数： | 14 次 |
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