近两年临床药师参与院内多学科会诊的工作效果分析  

Effect of Clinical Pharmacists Participating in the Multidisciplinary Consultation in the Recent 2 Years

作　　者：王婷[1] 

机构地区：[1]首都医科大学附属北京朝阳医院,北京100020

出　　处：《中国药业》2015年第17期59-60,共2页China Pharmaceuticals

摘　　要：目的分析医院临床药师参与院内多学科会诊的工作效果,促进合理用药。方法选择医院临床药师参与会诊前(2011年1月至2012年12月)住院患者180例作为对照组,会诊后(2013年1月至2014年12月)住院患者176例作为观察组。结果临床药师参与的176例患者会诊中,主要涉及呼吸科及骨科,以常规会诊、全员联合会诊、科室急会诊为主。临床药师参与会诊中所提出的建议接纳率为95.45%,部分采纳占4.55%。与对照组相比,观察组在药物选择、抗感染药物使用、用法用量不合理方面均有明显改善;在呼吸科及骨科的平均住院时间明显缩短,床位使用率显著增加;药占比、抗感染药物使用率及使用强度均明显降低;患者用药依从性显著提高,且相关并发症、感染发生率降低(P<0.05)。结论临床药师参与会诊,可为患者合理用药提供专业保障,对安全、有效用药起促进作用,有效控制药占比。临床药师应不断学习专业及临床知识,完善工作制度与模式,以提升会诊能力。Objective To analyze the effect of the clinical Pharmacist ParticiPating in the multidisciPlinary consultation in the hosPital to Promote rational drug use. Methods 180 cases during January 2011 to December 2012 before the clinical Pharmacists ParticiPating in the multidisciPlinary consultation were selected as the control grouP, 176 cases of clinical Pharmacists ParticiPating in the consultation from January 2013 to December 2014 were selected as the observation grouP. Results The 176 cases with the clinical Pharmacists ParticiPating in the consultation mainly consisted of the DePartment of resPiration and DePartment of OrthoPedics, with the main form of the conventional consultation, full faculty joint consultation, and emergency consultation. The accePtance rate of the clinical Pharmacist ParticiPating in the consultation was 95. 45%, and 4. 55% cases were Partially adoPted. ComPared with the control grouP, the observation grouP was significantly imProved in drug selection, anti-infective drug use, rational dosage and usage; the average length of hosPital stay in the DePartment of resPiration and DePartment of OrthoPedics was significantly shortened, and the use of bed was significantly increased;the ProPortion of drug use, the use of anti-infective drugs and the use of intensity were significantly lower;the incidence of medication comPliance was significantly imProved, and the incidence of comPlications and infection were significantly lowered （ P 〈 0. 05 ） . Conclusion Clinical Pharmacists ParticiPating in the consultation can Provide Professional safety for Patients with rational use of drugs, Promote the safe and effective use of drugs, and achieve effective control of drugs. The clinical Pharmacists should continue to learn Professional and clinical knowledge, imProve the work system and model, to enhance their consultation ability.

关 键 词：临床药师 多学科会诊 合理用药 

分 类 号：R952[医药卫生—药学] R969.3