江苏省28家医院临床药学工作开展现状调查

发布时间：2018-01-15 02:24

本文关键词：江苏省28家医院临床药学工作开展现状调查　出处：《中国药房》2017年24期 　论文类型：期刊论文

【摘要】：目的:了解江苏省主要医院临床药学工作开展现状,为促进临床药师制建设、发挥临床药师在合理用药和药学服务方面的积极作用提供参考。方法:采用电子邮件方式发放调研表,对江苏省医学会临床药学分会的28位委员(分别来自28家医院)进行临床药学工作开展现状调查,并对有关数据及结果进行统计和分析。结果:共发放调研表28份,回收有效调研表28份,有效回收率为100%。28家受访医院中综合性医院有25家,"三甲"医院有26家。共有专兼职临床药师312名,平均每家受访医院有7.32名专职临床药师和3.82名兼职临床药师;专职临床药师硕士学历、中级职称的比例均显著高于兼职临床药师(P0.05)。专职临床药师中经培训获得临床药师资质的共有144人(占70.24%);13家具有国家卫计委临床药师培训基地资格的受访医院平均师资人数为3.77人,5家具有省级临床药师培训基地资格的受访医院平均师资人数为5.80人,1家具有国家卫计委临床药师师资培训基地资格的受访医院师资人数为5人。受访医院开展临床药学相关工作以参与日常医师查房、参与医嘱和处方点评、对抗菌药物进行专项点评、书写药历、药学信息服务、门诊药物咨询和药品不良反应监测的比例最高,均为100%,而以专家咨询门诊比例最低(占10.71%),其他比例较低的项目有开设手麻科药房(占28.57%)、社区药学服务(占57.14%)、药物基因组学检测(占46.43%)和参与管理药物临床试验(占53.57%)等;培训基地医院临床药学各项工作开展比例总体高于非培训基地医院,受访省级临床药师培训基地医院抗肿瘤药物、激素类药物和血液制品专项点评及专家咨询门诊、开设手麻科药房、社区药学服务、药物基因组学检测、参与管理药物临床试验等项开展比例与受访医院比较,差异均有统计学意义(P0.05);平均每家省级临床药师培训基地医院与平均每家受访医院比较,在专科会诊次数、病案分析例次、住院病患注射剂医嘱审核份数、静脉配置医嘱审核条数、门诊处方审核张数、治疗药物监测品种和例数以及药物基因组学检测例数上,差异均有统计学意义(P0.05)。结论:江苏省"三甲"综合性医院临床药师队伍建设有待加强,兼职临床药师还需加速转型,同时临床药学相关工作开展水平尚待进一步提高。
[Abstract]:Objective: to understand the main hospital of Jiangsu Province, the work of clinical pharmacy status, in order to promote clinical pharmacist system construction, play a positive role of clinical pharmacists in rational drug use and pharmaceutical services to provide the reference. Methods: using e-mail issued investigation table of Jiangsu Province Medical Association Clinical Pharmacy branch 28 members (from 28 hospitals) this paper surveys the current situation of clinical pharmacy work, and analyzed the relevant data and results. Results: the survey issued a total of 28 copies, 28 copies of valid investigation table, the effective recovery rate was 100%.28 in comprehensive hospitals surveyed 25 hospitals, hospital of 26. A total of part-time clinical pharmacists 312, average hospitals surveyed 7.32 full-time and 3.82 part-time clinical pharmacists of clinical pharmacist; clinical pharmacists professional master degree, intermediate rates were significantly higher than those in part-time clinical pharmacists (P0.05 ). The full-time clinical pharmacists in clinical pharmacist qualification obtained by training a total of 144 people (70.24%); 13 furniture with the State Planning Commission of clinical pharmacist training base qualifications of the hospitals surveyed teachers average number of 3.77 people, 5 level with the clinical pharmacist training base qualifications of the hospitals surveyed average teachers for the number 5.80, 1 furniture with the State Planning Commission clinical pharmacists training base qualifications of the hospitals surveyed teachers for the number 5 hospitals surveyed. Clinical pharmacy related work to participate in the daily round, in order and prescription review, special comments on the writing of antimicrobial drugs, drug history, pharmaceutical information services, outpatient consultation and adverse drug drug monitoring response to the highest proportion was 100%, while the lowest proportion of outpatients with expert consultation (10.71%), Department of pharmacy has set up a lower proportion of other military projects (28.57%), community pharmacy services (57.14%), drug From genomics testing (46.43%) and participate in the management of drug clinical trials (53.57%); training base hospital clinical pharmacy work carried out higher than the proportion of the overall training base hospital, interviewed the provincial clinical pharmacist training base hospital antitumor drugs, hormone drugs and blood products special comments and expert consultation, open hands, community pharmacy services, pharmacy, pharmacogenomic testing, to participate in the management of drug clinical trial, conducted and the proportion of hospitals surveyed, there were statistically significant differences (P0.05); the average level of clinical pharmacist training base hospital and average hospitals surveyed, in the number of specialist consultation, case analysis cases, inpatient injection the number of copies of the medical examination, the medical examination number of intravenous transfusion, outpatient prescription audit a number of therapeutic drug monitoring varieties and the number of cases as well as drug genomics testing cases The difference was statistically significant (P0.05). Conclusion: the construction of clinical pharmacist team in Jiangsu's "three a" comprehensive hospital needs to be strengthened. Part time clinical pharmacists need to accelerate transformation. At the same time, the level of clinical pharmacy work needs further improvement.

【作者单位】：南通大学附属医院药学部;南通市第一人民医院药剂科;江苏省人民医院药学部;
【分类号】：R95
【正文快照】： 为进一步提升医疗卫生机构药学部门现代化规范管理水平,加强药事管理工作,保障医疗质量和医疗安全,早在2005年,原卫生部就开始在全国范围开展临床药师制试点工作,并在2010年和2011年先后发布了《二、三级综合医院药学部门基本标准(试行)》(卫医政发[2010]99号)和《医疗机构药

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