多院区信息化环境下的临床药学实践模式探索

发布时间：2018-07-15 07:46

【摘要】：目的:为建立适用于多院区的临床药学实践工作模式提供参考。方法:基于我院2012-2013年临床药学发展的环境、工作内容及取得的成效,总结在院区分散、信息化程度提高和药学人力资源不足的情况下开展临床药学工作的经验。结果:我院的实践模式包括药师培养专科化、临床实践专业化,临床药师日常工作量化管理,临床药学服务与参与质量综合目标管理一体化,充分利用信息技术进行临床合理用药监测,实现处方点评靶向化。该模式实践后,2013年住院患者抗菌药物使用率为56.6%,抗菌药物用药频度也由2012年的45下降到41,抗菌药物病历微生物标本送检率达30.2%,眼科医院围术期抗菌药物预防使用率从90%下降至10%以下;上报药品不良反应报告271份,增长率为33.58%。结论:建立的模式促进了临床合理用药和用药安全。
[Abstract]:Objective: to provide reference for the establishment of clinical pharmacological practice model suitable for multi-hospital area. Methods: based on the environment, contents and achievements of clinical pharmacy development in our hospital in 2012-2013, the experience of clinical pharmacy work was summarized under the condition of scattered hospital area, improved information level and insufficient human resources of pharmacy. Results: the practice mode of our hospital included specialized training of pharmacists, specialization of clinical practice, quantification management of daily work of clinical pharmacists, integration of clinical pharmaceutical care and quality comprehensive objective management. Make full use of information technology to monitor the rational use of drugs in clinic, and realize the targeting of prescription evaluation. After the model was put into practice, the utilization rate of antimicrobial agents in inpatients in 2013 was 56.6, the frequency of antimicrobial drug use also decreased from 45 in 2012 to 41, the rate of microbiological specimen examination in antimicrobial records reached 30.2 and the perioperative antimicrobial use was prevented in ophthalmic hospitals. The rate decreased from 90 per cent to less than 10 per cent; 271 ADR reports were reported, with a growth rate of 33.58%. Conclusion: the established model promotes rational and safe use of drugs in clinic.
【作者单位】：宁夏回族自治区人民医院;
【基金】：宁夏卫生厅重点科研计划项目(No.2012020)
【分类号】：R95

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