摘要
目的:探讨临床药师在呼吸内科开展药学服务的工作模式。方法:采用回顾性研究的方法,利用医院HIS系统,调取干预前后住院医疗医嘱,对抗菌药物相关考核数据、不良反应上报、医嘱合理性进行对比分析。结果:在五次调研中,药师审查了519份病历,34 431条医嘱。干预后1个月、半年、1年、2年,该科室不合理医嘱条数比例比干预前分别下降0.37%、1.93%、2.47%和3.61%;且抗菌药物考核指标基本达标,医嘱书写更加规范。结论:临床药师通过积极主动的干预医师用药,可以提高临床用药合理性、治疗水平,并实现药师自身价值。
Objective: To explore the work mode of clinical pharmacists performing pharmaceutical services in the respiratory department. Methods: The medical orders before and after intervention were extracted from hospital information system (HIS) and retrospectively analyzed in terms of antibiotics application, report of adverse drug reaction (ADR) and the rationality of medical orders. Results: A total of 5 surveys were performed. 519 cases and 34 431 medical orders were involved. The proportion of unreasonable medical orders at one month, six months, one year, and two years after intervention decreased by 0.37%, 1.93%, 2.47%, and 3.61% respectively. The use of antibiotics met the assessment index basically. And the form of medical orders was more standardized. Conclusion: Clinical pharmacists could improve the rational drug use and realize their own value by active interventions.
作者
马静
崔立慧
汤守香
MA Jing;CUI Li-hui;TANG Shou-xiang(Pharmaceutical Preparation Section, Dachang Hospital of Nanjing, Nanjing 210044, China;Department of Respiratory Medicine, Dachang Hospital of Nanjing, Nanjing 210044, China)
出处
《中国药物应用与监测》
CAS
2019年第2期108-111,共4页
Chinese Journal of Drug Application and Monitoring
基金
南京市药学会-常州四药医院药学科研项目(2015YX015)
关键词
呼吸内科
临床药师
药物使用
住院医嘱
干预
Respiratory department
Clinical pharmacist
Drug use
Medical order
Intervention
