临床药师对优化治疗方案的作用分析.pdfVIP

中国药物警戒第7 卷第6 期 2010 年6 月 June, 2010, Vol.7, No.6 中图分类号：R954 文献标识码：A 文章编号：1672- 8629（2010）06- 0340- 03 临床药师对优化治疗方案的作用分析 王伟兰 朱曼 裴斐 王波 王东晓 黄翠丽 （解放军总医院药品保障中心临床药学室，北京 100853） 摘要：目的为了促进临床的合理用药，临床药师对医嘱审核情况进行分析，发现临床用药中可/ 或需优化医嘱，及 时与临床沟通，降低临床用药风险，优化治疗方案。 临床药师参照住院患者医嘱审核流程图对2009 年3～9 月 方法 所在病区（呼吸、心内、内分泌、肿瘤科）医嘱进行审核，结合每日查房了解患者病情，发现可/ 需优化医嘱并提出治 疗方案优化建议，填写医嘱审核登记表，根据登记表对治疗方案优化建议进行汇总分析。 临床药师建议优化治 结果 疗医嘱 185 条，医生采纳 108 条，表示关注31 条，未采纳46 条，采纳率为58.38%。建议的内容主要为给药方法、药 物选择、药品不良反应相关问题、药物相互作用、疗程、重复用药、适应证等方面，优化方案涉及药品品种主要为循环 系统药物、抗微生物药物、呼吸系统药物及激素及其有关药物等。结论临床药师通过开展医嘱审核，对提高临床合 理用药水平，降低临床用药风险和优化给药方案起到了一定的作用，有利于临床药师之间的经验共享和相互学习。 关键词：临床药师；治疗方案；优化；作用 Analysis of Clinical Pharmacists Carry Out Treatment Program Optimization Job WANG Wei -lan ZHU Man PEI Fei WANG Bo WANG Dong -xiao HUANG Cui -li (Department of Pharmaceutical Care Clinical Pharmacy, Bejing, 100853, China ) Abstract: Objective To promote clinical rational use of drug, clinical pharmacists found the doctors orders can or must be optimized by reviewing doctors advice and discussed with doctor to reduce the risk of clinical medicine and optimize treatment program. Methods Reference to the flowchart of inpatients doctors advice, Clinical pharmacists reviewed advice of ward(respiratory, cardiology, endocrinology, oncology) to give medication recommendations and to fill in the the registration form by which clinical pharmacists analyzed. Results Clinical Pharmacists proposed to optimize185 the doctors advice, 108 was adopted by doctors and 31 would be concern about by doctors, 46 did not be adopted. The adoption rate was 58.38%.Contents of the proposals were mainly drug del