Page 129 - 《中国药房》2022年22期

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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康 健 ，聂会娟，陈晓旭，钞艳惠，周晓燕，乔高星，刘胜利，杜书章（郑州大学第一附属医院药学部，郑州
#
450052）

中图分类号 R952 文献标志码 A 文章编号 1001-0408（2022）22-2807-05
DOI 10.6039/j.issn.1001-0408.2022.22.24

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33 min，审方模块上线后只需要6 s；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。
关键词 肠外营养液；处方审核；参数赋值法；工作效率；合理用药

Application of parameter assignment method in the review of parenteral nutrition prescription in our
hospital
KANG Jian，NIE Huijuan，CHEN Xiaoxu，CHAO Yanhui，ZHOU Xiaoyan，QIAO Gaoxing，LIU Shengli，DU
Shuzhang（Dept. of Pharmacy，the First Affiliated Hospital of Zhengzhou University， Zhengzhou 450052， China）

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
Δ 基金项目 河南省医学科技攻关计划（联合共建）项目（No.
LHGJ20190277） prescriptions， and ensures the drug safety of patients.
＊ 第一作者 主 管 药 师 。 研 究 方 向 ：医 院 药 学 。 电 话 ：0371- KEYWORDS parenteral nutrition solution； prescription
66862018。E-mail：241340670@qq.com
review； parameter assignment method； work efficiency；
# 通信作者 主任药师。研究方向：循证医学、药物经济学。电话：
0371-67966013。E-mail：dushuzhang911@163.com rational drug use

中国药房 2022年第33卷第22期 China Pharmacy 2022 Vol. 33 No. 22 · 2807 ·