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目的分析近4年本院临床药师参与的临床会诊工作和效果,为临床药师参与临床实践的模式、方向提供参考。方法调取本院2009―2012年临床药师参与会诊的病例,从会诊科室分布、会诊数量、会诊目的、临床采纳程度以及会诊的临床效果进行回顾性分析。结果 2009年本院临床药师会诊5个科室(10例会诊),2010年8个科室(23例会诊),2011年13个科室(64例会诊),2012年26个科室(139例会诊);临床科室请临床药师会诊目的主要以抗菌药物的选择、调整和停药居多,占73.3%;临床药师会诊意见总体采纳225例(95.3%),未采纳的11例(4.7%);患者会诊后好转209例(88.6%),疗效不明显或恶化的9例(3.8%),因其他原因放弃治疗或死亡的7例(3.0%)。结论临床药师参与临床会诊对临床合理用药提供了一定的帮助,但目前仍存在一些不足,临床药师需要不断学习临床和药学知识,才能提高会诊质量。
Objective To analyze the clinical consultation and the clinical participation of clinical pharmacists in the past 4 years and provide reference for clinical pharmacists to participate in clinical practice. Methods The cases of clinical pharmacists participating in the consultation from 2009 to 2012 in our hospital were investigated retrospectively from the distribution of consultation departments, the number of consultations, the purpose of consultation, the degree of clinical acceptance and the clinical effect of consultation. Results There were 5 departments (10 consultations), 8 departments (23 consultations) in 2010, 13 departments (64 consultations) in 2011 and 26 departments (139 consultations) in 2012 in our hospital. Clinical pharmacists invited clinical pharmacist consultation mainly in the choice of antibacterial drugs, adjustment and withdrawal of the majority, accounting for 73.3%; clinical pharmacists advice to see the overall adoption of 225 cases (95.3%), 11 cases (4.7%) not adopted; patients after consultation There were 9 cases (3.8%) with no obvious or worsening curative effect, 7 cases (3.0%) who gave up treatment or died due to other reasons. Conclusion Clinical pharmacists participating in clinical consultation provided some help to clinical rational use of drugs. However, there are still some shortcomings. Clinical pharmacists need to continuously learn clinical and pharmacy knowledge in order to improve consultation quality.