| 刘朋朋,宋智慧,陈语,等.临床药师参与病区药房管理对药师医嘱审核能力的影响研究[J].安徽医药,2020,24(6):1251-1253. |
| 临床药师参与病区药房管理对药师医嘱审核能力的影响研究 |
| Influence of clinical pharmacist participation in ward pharmacy management on the pharmacist’s ability to review medical orders |
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| DOI：10.3969/j.issn.1009?6469.2020.06.048 |
| 中文关键词: 药剂师 药物利用评审 药物疗法管理 处方 病房 药房 |
| 英文关键词: Pharmacists Drug utilization review Medication therapy management Prescriptions Patients’ rooms Pharmacies |
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| 中文摘要: |
| 目的分析临床药师参与病区药房管理对药师医嘱审核能力的影响。方法从首都医科大学附属北京同仁医院南区医院信息系统收集病区药房 2015年 9月 1日至 2016年 8月 31日、 2017年 9月 1日至 2018年 8月 31日间医嘱审核数以及不合理医嘱干预有关资料，进行回顾性分析，统计分析临床药师参与病区药房管理前后不合理医嘱数量的变化。结果临床药师参与病区药房管理后，干预不合理用药医嘱由 99例上升到 254例，干预率由原来的 0.01%上升到 0.03%，用法用量不适宜 115例，占比 45.3%，其它类型(药物选择不适宜、重复给药、给药途径不适宜、不良相互作用等) 139例，占比 54.7%；临床药师参与病区药房管理前，用法用量不适宜 61例，占比 61.6%，其它类型(药物选择不适宜、重复给药、给药途径不适宜、不良相互作用等) 38例，占比 38.4%。结论临床药师归属病区药房参与医嘱审核，有利于提高药学整体水平，保证病人用药安全。 |
| 英文摘要: |
| Objective To analyze the influence of clinical pharmacists involved in management of inpatient pharmacy on the improve? ment of pharmacists’ability to review medical orders.Methods The number of medical order audits and relevant information on un? reasonable medical order intervention of the ward pharmacy were collected from the information system of the Southern District Hospi?tal of Beijing Tongren Hospital affiliated to Capital Medical University from September 1，2015 to August 31，2016，and from Septem? ber 1，2017 to August 31，2018.Results The number of intervention records of irrational medical orders increased from 99 cases to 254 cases and intervention rate increased from 0.01%to 0.03%，115 cases(45.3%)of inappropriate usage and dosage and 139 cases(54.7%)of other types(inappropriate drug selection，repeated drug administration，inappropriate drug delivery route and adverse inter? actions)after clinical pharmacists involved in management of inpatient pharmacy；before clinical pharmacists involved in management of inpatient pharmacy，61 cases(61.6%)of inappropriate usage and dosage and 38 cases(38.4%)of other types.Conclusion Clinical pharmacists participate in the inpatient pharmacy management and review of medical order，can conductively improve the overall level of pharmacy and ensure patient medication safety. |
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