今日药学

2019, v.29(03) 201-204

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某院日间化疗中心PIVAS抗肿瘤药物不合理医嘱分析
Analysis on Irrational Prescriptions of Antitumor Drugs in PIVAS of Daytime Chemotherapy Center

许依宁;余凤姿;曾晓华;王琳环;刘韬;
XU Yining;YU Fengzi;ZENG Xiaohua;WANG Linhuan;LIU Tao;Pharmaceutical Department of Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Cancer Medicine;

摘要(Abstract):

目的减少抗肿瘤药物不合理医嘱发生率,促进临床安全合理用药。方法对某院日间化疗中心PIVAS 2016年1月~2017年12月干预的333例抗肿瘤药物不合理医嘱进行回顾性分析。结果该院日间化疗中心PIVAS抗肿瘤药物不合理医嘱类型有溶媒用量不当(31%)、给药浓度不当(29%)、溶媒品种选择不当(13%)、给药途径不当(12%)、医嘱录入错误(11%)和其他(4%);药师干预成功率达到95%。结论药师干预可提高抗肿瘤药物的安全合理用药,减少不合理医嘱。
OBJECTIVE To reduce the irrational use of antitumor drugs and promote the safe and rational use of drugs in clinical practice. METHODS A retrospective analysis was made on 333 irrational prescriptions of antitumor drugs intervened by PIVAS of daytime chemotherapy center of a hospital from January 2016 to December 2017. RESULTS The types of irrational prescriptions of antitumor drugs in PIVAS of daytime chemotherapy center of a hospital included inappropriate dosage of solvents( 31%),inappropriate concentration( 29%),inappropriate selection of solvent varieties( 13%),inappropriate drug delivery( 12%),wrong input of medical advice( 11%) and others( 4%); the success rate of pharmacist intervention reached 95%. CONCLUSION The intervention of pharmacists could improve the safety and rational use of antitumor drugs,and reduce irrational prescriptions.

关键词(KeyWords): 日间化疗;PIVAS;抗肿瘤药物;不合理医嘱
daytime chemotherapy;PIVAS;antitumor drugs;irrational prescriptions

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作者(Author): 许依宁;余凤姿;曾晓华;王琳环;刘韬;
XU Yining;YU Fengzi;ZENG Xiaohua;WANG Linhuan;LIU Tao;Pharmaceutical Department of Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Cancer Medicine;

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