临床药师参与358例会诊的实践与分析
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篇名: 临床药师参与358例会诊的实践与分析
TITLE:
摘要: 目的:探讨临床药师参与会诊的特点及方法,以期提高临床药师会诊水平。方法:调取病案检索系统中2008年1月-2015年9月临床药师参与的358例病例的会诊记录,对会诊科室、会诊目的、抗感染方案涉及病例特点、原治疗方案用药情况、会诊意见采纳情况及后续治疗效果等内容进行统计、分析。结果:358例会诊病例中,申请会诊的科室主要为重症监护病房(92例,占25.7%),会诊目的主要为协助制订抗感染方案(315例,占88.0%),感染部位主要为肺部(174例,占55.2%),会诊中发现原治疗方案存在不合理用药情况213例(59.5%),会诊意见被完全采纳236例、部分被采纳89例、未被采纳33例。结论:临床药师参与会诊,在制订合理用药方案、发挥药物最佳疗效、避免和减少药品不良反应等方面起到了积极的专业保障作用。
ABSTRACT: OBJECTIVE: To explore the features and role of clinical pharmacists involved in consultation cases, and to improve the consultation level of clinical pharmacist. METHODS: A total of 358 clinical pharmacy consultation cases from Jan. 2008 to Sept. 2015 were retrieved from medical case retrieval system and analyzed in consultation department, consultation purpose, characteristics of the cases involved in anti infection, drug use of primary therapy plan, consultation advice adoption, following therapeutic efficacy, etc. RESULTS: Of 358 consultation cases, consultation application was mainly from ICU (92 cases, 25.7%); consultation purpose was mainly assisting physicians to formulate anti-infective plan (315 cases, 88.0%); main infection site was pulmonary infection (174 cases, 55.2%); 213 cases of irrational drug use were found during consultation (59.5%); consultation advices were adopted totally in 236 cases, partially in 89 cases but not adopted in 33 cases. CONCLUSIONS: Clinical pharmacists participate in consultation, provide professional guarantee and play active role in formulating reasonable therapy plan, motivating optimal therapeutic efficacy, avoiding and reducing ADR, etc.
期刊: 2016年第27卷第11期
作者: 苏丹,徐姗,王君萍
AUTHORS: SU Dan,XU Shan,WANG Junping
关键字: 临床药师;会诊;合理用药;回顾性分析
KEYWORDS: Clinical pharmacist; Consultation; Rational drug use; Retrospective analysis
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