五城市7家三甲综合医院临床药学服务的过程质量评价研究

发布时间：2019-07-20 06:18

【摘要】：目的:对医院临床药学服务(Clinical Pharmacy Service,CPS)的过程质量进行评价,分析其核心要素和典型特征;方法:对典型医院临床药师参与疾病治疗工作的病例信息进行摘录、归类与分析,以临床药师向医师提出的医疗建议为分析对象;结果:97.34%的医疗建议能被医师接受并在临床药物治疗过程中实施,CPS干预主要针对用药品种、用药剂量、给药过程和临床检查进行,干预原因以改善药物疗效为主,抗菌药物在干预所涉及的病例中出现频次最高。结论:CPS干预在保证药物治疗的安全性方面尚需加强,而在药物使用的经济性方面尚未发挥作用。应逐步扩大CPS试点科室的范围,授予临床药师必要的医疗决策权,加强临床药师对药物临床使用安全性与经济性的干预。
[Abstract]:Objective: to evaluate the process quality of clinical pharmaceutical care (Clinical Pharmacy Service,CPS in hospital and analyze its core elements and typical characteristics methods: the case information of clinical pharmacists involved in disease treatment in typical hospitals was extracted, classified and analyzed, and the medical suggestions put forward by clinical pharmacists to doctors were taken as the object of analysis. Results: 97.34% of the medical suggestions could be accepted by doctors and implemented in the course of clinical drug treatment. CPS intervention was mainly aimed at drug varieties, dosage, administration process and clinical examination. The main reasons of intervention were to improve the curative effect of drugs, and the frequency of antibiotics in the cases involved in intervention was the highest. Conclusion: CPS intervention still needs to be strengthened to ensure the safety of drug treatment, but has not yet played a role in the economy of drug use. The scope of CPS pilot department should be gradually expanded, the necessary medical decision-making power should be granted to clinical pharmacists, and the intervention of clinical pharmacists on the safety and economy of clinical use of drugs should be strengthened.
【作者单位】：南京医科大学医政学院;昆明医科大学;南京大学医学院附属鼓楼医院;
【基金】：国家自然科学基金项目“医院临床药学服务的影响因素分析与质量评价研究”(编号:71003055) 江苏省高等学校大学生实践创新训练计划项目“基于Delphi法的医院临床药学服务质量评价体系研究”(编号:2012JSSPITP1053)
【分类号】：R95

【共引文献】