OBJECTIVE:To investigate the irrational prescriptions and medical orders in Pharmacy Intravenous Admixture Service of Guangdong Panyu Maternal and Child Health Hospital ( hereinafter referred to as “our hospital”) . METHODS: Retrospective analysis was conducted on the irrational prescriptions and medical orders found in the process of intravenous medicine prescriptions audit during Jun .to Nov.2014 in our hospital , and then modification suggestions were put forward .RESULTS:A total of 123 368 prescriptions was reviewed , and 240 pieces of irrational prescriptions were found , accounting for 0.20%.The problems included irrational selection of solvent ( 35.83%) , improper dosage and usage ( 32.08%) , irrational selection of medicine ( 14.58%) , repeated drug use ( 4.17%) and medicine incompatibility ( 3.75%) , etc.CONCLUSIONS: The review of intravenous medicine prescriptions and medical orders by clinical pharmacists can timely find and correct the irrational phenomenon in clinic , and improve the safety and effectiveness of drug treatment .%目的：了解广东省妇幼保健院（以下简称“我院”）番禺院区静脉用药调配中心不合理处方和医嘱情况。方法：对我院番禺院区2014年6—11月静脉药物审方过程中发现的不合理处方和医嘱进行回顾性统计、分析，对其中不合理处方和医嘱提出修改意见和建议。结果：共审核处方和医嘱123368条，其中不合理处方和医嘱240条，占总数的0.20％。不合理处方和医嘱类型包括溶剂不适宜（35.83％）、用法和用量不适宜（32.08％）、遴选药物不适宜（14.58％）、重复给药（4.17％）、配伍禁忌（3.75％）等。结论：临床药师对静脉用药处方和医嘱进行审核，可及时发现并纠正临床的不合理用药现象，提高药物治疗的安全性和有效性。
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