临床药师工作中应把握的几个问题.pdfVIP

中国药物应用与监测2011年10月第8卷第5期 Chinese Journal of Drug Application and Monitoring, Vol.8, No.5, October 2011 临床药师工作中应把握的几个问题 1 2 （1. 解放军总医院健康医学中心，北京 100853 ；2. 解放军总医院医学保障部，北京 100853 ） 刘尚军 ，陈宜鸿 [摘要] 结合国内外临床药学开展的实际情况，探讨临床药师常规工作中应把握的重点问题，为临床药师的实践工作提供参 考。在临床实践前期，临床药师应做好知识和技能准备工作，重点弥补临床专业知识的欠缺；在实践中应注重用药细节，实 时为医护患提供用药咨询，针对特殊患者提供药学监护，重点把握药品不良反应、药物相互作用等问题。同时，在参与临床 工作时，应注重沟通、准确定位，提高医疗风险防范意识，保障临床合理用药。 [关键词] 临床药师；临床实践；药学监护；医疗风险 [ 中图分类号] R97 [文献标识码] A [文章编号] 1672 – 8157(2011)05 – 0295 – 02 Problems grasped by clinical pharmacists in clinic 1 2 LIU Shang-j un , CHEN Yi-hong ( 1. Department of Health Science Center, PLA General Hospital, Beijing 100853, China; 2. Medical Support Division, PLA General Hospital, Beijing 100853, China ) [ABSTRACT] Combined with the practice of clinical pharmacy at home and abroad, we investigate the key issues that clinical pharmacists should take in clinical practice. Before the clinical practice, clinical pharmacists should prepare knowledge and skills especially for making up for clinical expertise; in the clinical practice, clinical pharmacists should focus on the details of medication, offer drug-counseling service for health care workers and patients, provide pharmaceutical care for specific patients, pay attention to adverse drug reactions, drug interactions, etc. Simultaneously, clinical pharmacists should enhance the skills of communication, accurate positioning and awareness of medical risk for the safe, effective, economical and reasonable use of clinical medication. [KEY WORDS] Clinical pharmacist; Clinical practice; Pharmaceutical care; Medical risk 20 11年《医疗机构药事管理规定》提出医疗机构 归等临床知识；其次，学习专科疾病的药物治疗原则 应当根据本机构性质、任务、规模配备适当数量的临 与药物治疗效果评价，掌握专科药品的药效学、药动 床药师，促进临床药师行业发展。目前，临床药师工 学知识，熟悉常用药品的适应证、用法用量、不良反 作开展模式和工作方法尚待进一步的规范化和系统 应、注意