基于微信平台的儿科药学服务实践
发布时间：2018-11-22 19:10
【摘要】：目的:探讨微信平台在线服务对儿童家庭安全用药及药学服务质量的影响。方法:汇总我院"儿童用药问答"微信平台(微信号:etyywd)2014年6月1日-2015年12月31日的在线咨询记录,对咨询时间段、有咨询需求的患儿的年龄段、用药咨询所涉及的系统以及差错类型等进行统计分析。结果:共收集到微信平台问答记录29 850条,其中与用药相关的有13 315条(占44.61%)。用药咨询的高峰时间段为上午9:00-10:00,累计咨询总量达1 840条(占13.82%);咨询最少的时间段为凌晨4:00-5:00,仅有13条(占0.10%)。有咨询需求的患儿以1~6岁年龄段居多,集中在学龄前期(占31.20%)和幼儿期(占26.32%)。涉及的系统主要包括呼吸系统、免疫系统、消化系统,其中呼吸系统最多(占60.28%)。已经发生和可能发生且被及时纠正的用药差错问答记录有1 508条(占11.33%),其中用药差错类型主要为不合理使用退烧药(占3.91%)、滥用抗菌药物(占3.14%)、随意联合或过度用药(占3.04%)、剂量过大或过小(占0.69%)、雾化吸入剂出院带药使用不当(占0.41%)、维生素类服用过量(占0.14%)等。结论:通过微信平台,可扩大临床药师的服务范围。作为医院药学服务的延伸,这可在一定程度上降低因患者或家属的错误认知而导致的儿童家庭用药差错风险;同时还可加强医患沟通,改善医疗服务体验。
[Abstract]:Objective: to explore the effect of online service on children's family safety drug use and quality of pharmaceutical service on WeChat platform. Methods: the online counseling records of "Children's Drug Question-Questionation" (: etyywd) were collected from June 1, 2014 to December 31, 2015, and the age of the children with counseling needs were analyzed. The system and error types involved in drug counseling were statistically analyzed. Results: a total of 29 850 questions and answers were recorded on WeChat platform, of which 13 315 (44.61%) were related to drug use. The peak time of drug consultation was 9: 00-10: 00 in the morning, the total amount of consultation was 1 840 (13.82%), and the least consultation period was 4: 00-5: 00 in the morning, only 13 (0.10%). The majority of children with counseling needs were in the age of 1 to 6 years old, mainly in preschool (31.20%) and early childhood (26.32%). The main systems involved include respiratory system, immune system and digestive system, of which the respiratory system is the most (60.28%). There were 1 508 questions and answers (11.33%) of drug errors that had occurred or were likely to occur and were corrected in time. The main types of drug errors were irrational use of antifebrile drugs (3.91%), abuse of antibiotics (3.14%), Random combination or overdose (3.04%), excessive dosage (0.69%), improper use of aerosol inhalation (0.41%), excessive use of vitamins (0.14%), etc. Conclusion: the service range of clinical pharmacists can be expanded by WeChat platform. As an extension of hospital pharmaceutical care, it can reduce the risk of drug errors in children caused by the wrong cognition of patients or family members to a certain extent, strengthen doctor-patient communication, and improve the experience of medical service.
【作者单位】： 上海市儿童医院/上海交通大学附属儿童医院药剂科;
【基金】：上海市科学技术委员会科研计划项目(No.15dz2354300) 上海交通大学医学院医院药学科研基金青年项目(No.JDYX2016QN018)
【分类号】：R95
本文编号：2350279
[Abstract]:Objective: to explore the effect of online service on children's family safety drug use and quality of pharmaceutical service on WeChat platform. Methods: the online counseling records of "Children's Drug Question-Questionation" (: etyywd) were collected from June 1, 2014 to December 31, 2015, and the age of the children with counseling needs were analyzed. The system and error types involved in drug counseling were statistically analyzed. Results: a total of 29 850 questions and answers were recorded on WeChat platform, of which 13 315 (44.61%) were related to drug use. The peak time of drug consultation was 9: 00-10: 00 in the morning, the total amount of consultation was 1 840 (13.82%), and the least consultation period was 4: 00-5: 00 in the morning, only 13 (0.10%). The majority of children with counseling needs were in the age of 1 to 6 years old, mainly in preschool (31.20%) and early childhood (26.32%). The main systems involved include respiratory system, immune system and digestive system, of which the respiratory system is the most (60.28%). There were 1 508 questions and answers (11.33%) of drug errors that had occurred or were likely to occur and were corrected in time. The main types of drug errors were irrational use of antifebrile drugs (3.91%), abuse of antibiotics (3.14%), Random combination or overdose (3.04%), excessive dosage (0.69%), improper use of aerosol inhalation (0.41%), excessive use of vitamins (0.14%), etc. Conclusion: the service range of clinical pharmacists can be expanded by WeChat platform. As an extension of hospital pharmaceutical care, it can reduce the risk of drug errors in children caused by the wrong cognition of patients or family members to a certain extent, strengthen doctor-patient communication, and improve the experience of medical service.
【作者单位】： 上海市儿童医院/上海交通大学附属儿童医院药剂科;
【基金】：上海市科学技术委员会科研计划项目(No.15dz2354300) 上海交通大学医学院医院药学科研基金青年项目(No.JDYX2016QN018)
【分类号】：R95
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