我院215条临床药师查房干预记录分析  

Analysis of 215 Records of Clinical Pharmacists Intervening in Ward Round in Our Hospital

作　　者：陈方[1] 常惠礼[1] 钟健敏[1] 

机构地区：[1]暨南大学医学院附属清远市人民医院药事管理科,广东清远511518

出　　处：《中国药房》2013年第22期2105-2107,共3页China Pharmacy

摘　　要：目的:探讨影响临床药师查房干预成功率的因素,为临床药学工作的开展提供参考依据。方法:按医师接受程度、干预涉及药物类别和药学问题,回顾性分析我院2010年10月至2012年9月临床药师在心血管内科的查房干预记录215条。结果:总干预成功率达83.26%,对初级职称医师的干预成功率明显高于中级以上职称医师,分别为86.81%、76.06%;不同类别药物干预成功率在79.39%～93.62%之间,其中专科用药最高;干预涉及的药学问题主要是适应证、联合用药和不良反应。结论:干预失败的主要原因是医师的用药经验影响了对药师的信任度。临床药师通过提高自身水平,积累经验,发现干预的切入点并提高沟通交流能力,实施正确的查房干预,可提高干预成功率。OBJECTIVE： To discuss the influential factors of success rate of clinical pharmacists intervening in ward round, and to provide reference for the development of clinical pharmacy. METHODS： On basis of doctors＇ acceptance, concemed drugs and pharmacy issues, 215 records about clinical pharmacists intervening in ward round of cardiovascular department during Oct. 2010-Sept. 2012 were analyzed retrospectively. RESULTS： The success rate of total intervention was 83.26%, and the success rate of primary-title doctors （86.81% ） was higher than that of intermediate-title or above doctors （76.06%） obviously. The success rates of different kinds of drugs ranged between 79.39% and 93.62%, and the highest was the special drugs. Intervening concerned pharmacy issues referred to indications, drug combination and ADR. CONCLUSIONS ： Intervention failure is due to that the experi- ential treatment made the doctors not accredit the pharmacists. The only way to enhance the success rate of intervention for clinical pharmacists is to promote skills, gain experience, ascertain intervening point, have good communication and intervene correctly.

关 键 词：临床药师 查房干预 记录 合理用药 

分 类 号：R969.3[医药卫生—药理学] R952[医药卫生—药学]