某院提升药师审方干预技能的效果评价

发布时间：2018-03-04 05:16

本文选题：药师　切入点：处方审核　出处：《中国药房》2017年14期 　论文类型：期刊论文

【摘要】：目的:评价药师审方干预技能的提升整改效果。方法:采用回顾性调查方法,抽取某院2015年10-12月(提升整改前组)、2016年1-3月(提升整改后组)门诊处方各2 417、1 698张,以《处方管理办法》、《处方点评管理规范(试行)》、药品说明书等规范、指南和参考文献为依据,对优化医院信息系统、提高药师综合技能、强化药师观念、建立反馈机制等提升整改措施实施前后不合理用药情况和药师审方干预技能进行比较。结果:提升整改措施实施后,该院适应证不适宜、临床诊断与用药不符、无指征使用抗菌药物、用法用量不适宜、联合用药不适宜和总体不合理用药的现象均有所减少,重复用药的情况略有增加,但差异均无统计学意义(P0.05);药师审核的不规范处方和不适宜处方数量均有所减少,但差异均无统计学意义(P0.05);药师遗漏审核、过度审核的发生率及审核错误的总发生率分别由提升整改前的2.40%、0.99%和3.39%下降至0.47%、0.29%和0.77%,差异均有统计学意义(P0.05)。结论:该院的提升整改措施可提高药师审方干预的综合技能;但该院不合理用药的情况仍有待进一步规范。
[Abstract]:Objective: to evaluate the effect of improving intervention skills of pharmacists. Methods: a retrospective investigation was conducted to select 1 698 outpatient prescriptions from October to December of 2015 (group before upgrading and from 1 to 3 months on 2016). On the basis of "prescription Management method", "prescription Evaluation Management Standard (trial)", "Drug description", and so on, the guidelines and references are used to optimize hospital information system, improve pharmacists' comprehensive skills, and strengthen pharmacist's concept, and so on, in order to optimize hospital information system, improve pharmacist's comprehensive skills and strengthen pharmacist's concept. The irrational use of drugs and the intervention skills of pharmacists before and after the implementation of corrective measures were compared. Results: after the improvement measures were implemented, the indications of the hospital were not suitable, and the clinical diagnosis was not in accordance with the medication. The use of antimicrobial agents without indication was not appropriate, the use of combination drugs was not suitable and the overall irrational use of antibiotics was reduced, and the situation of repeated use of antibiotics increased slightly. However, the difference was not statistically significant (P 0.05); the number of nonstandard prescriptions and unsuitable prescriptions examined by pharmacists were decreased, but the differences were not statistically significant (P 0.05). The incidence of overaudit and the total rate of audit errors decreased from 2.400.99% and 3.39% to 0.470.29% and 0.77% respectively. The difference was statistically significant (P 0.05). Conclusion: the comprehensive skills of pharmacists' intervention can be improved by upgrading and reforming measures. However, the unreasonable use of drugs in the hospital still needs to be further standardized.
【作者单位】：四川大学华西医院临床药学部;
【分类号】：R95

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