我院住院患者规范化药历的建立  

Establishement of Standard Inpatient Medication History in Our Hospital

作　　者：钱小蔷[1] 

机构地区：[1]江苏大学附属医院,镇江市212001

出　　处：《中国药房》2008年第26期2074-2076,共3页China Pharmacy

摘　　要：目的:探讨建立规范、实用的住院药历格式。方法:介绍我院临床药师在参与临床查房工作中探索建立的住院患者规范化药历,该药历分4部分,即药历首记录、各项相关检查记录、药程录、出院小结。结果与结论:规范化药历的建立不仅可加强临床合理用药,同时也是临床药师进行规范化药学服务的具体体现。OBJECTIVE： To discuss the establishment of standard and practical inpatient medication history. METHODS： The standard inpatient medication history in our hospital which has been established by clinical pharmacists during ward rounds participation consists of four parts： first page of medication history, relevant medical checklng-up records, therapeutic drug records and discharge summary . RESULTS ＆ CONCLUSION： The standard medication history has contributed to the rational use of drugs, meanwhile, it is a concrete manifestatation of standard pharmaceutical care provided by clinical pharmacists.

关 键 词：临床药师 住院患者 规范化 药历 

分 类 号：R952[医药卫生—药学] R969.3