住院药房推行医嘱审核药学服务制度的效果与价值探讨  

Exploration of Carrying out Medication Order Review and Pharmaceutical Care System in Inpatient Pharmacy

作　　者：吕晓峰[1] 张迪[1] 边有鑫 

机构地区：[1]山东省淄博市妇幼保健院,山东淄博255029

出　　处：《中国药业》2016年第20期86-88,共3页China Pharmaceuticals

摘　　要：目的探索医院药学服务的新模式医嘱审核服务制度,发挥住院药师的作用,促进合理用药。方法从2015年7月开始,推行"医嘱审核药学服务制度",住院药房药师实行专人专科,每天对妇科、儿科、产科进行科室医嘱审核药学服务,对药物医嘱进行人工审核、记录和反馈,定期深入临床与各科室沟通,发现问题及时解决,且对患者进行用药的指导和答疑,对医护人员进行合理用药知识的培训。结果住院药房在2015年7,8,9月分别审核不合理医嘱89,96,103条,规范了合理用药,丰富了医生和护士的药学知识,减少了他们的工作量,提升了住院药房服务水平。结论此项服务模式发现了妇产科及儿科用药中存在的一些问题,需药师多为临床科室提供更加主动的药学服务,促进药物的合理利用,也为医院开展多样性的药学服务提供了新的模式。Objective To explore the new mode of hospital pharmaceutical services,play the role of hospital pharmacists actively,and promote the rational drug use in hospital. Methods The implementation of Pharmacy Service Systemof Medication Order Review was carried out from July 2015,with hospital pharmacy personnel performing manual review,record and feedback on the medication orders every day in the departments of gynecology,pediatrics,and obstetrics. Regular in- depth communication with various departments was conducted to find and solve the problems in time,and medication guidance and counseling for patients were provided. Knowledge training of medication for doctors and nurses was also provided. Results 89,96,103 items ofmedication were reviewed by the inpatient pharmacy in July,August,and September in 2015 respectively,providing more standardized and rational use of drugs,enriching the knowledge of pharmacy of the doctors and nurses,reducing the workload of doctors and nurses,as well asimproving the service level of the inpatient pharmacy. Conclusion This service mode has found some problems in the departments of obstetrics and gynecology as well as pediatrics,which requires the pharmacists to actively provide more service of pharmaceutical services to clinical departments to promote the rationaldrug use,andalso provide new mode to the diversified of pharmaceutical care in hospitals.

关 键 词：住院药房 医嘱审核 药学服务 

分 类 号：R952[医药卫生—药学]