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目的:为提高临床药师专业素质,建立特色的药学服务提供参考。方法:对2012年6月-2013年12月临床药师参与我院临床会诊的疑难危重病例情况和质量进行统计分析。结果:临床药师参与全院会诊81例(26.38%),科间会诊226例(73.62%)。会诊主要涉及抗感染方案制订291例(71.34%),营养支持治疗23例(7.49%),围术期用药20例(6.51%)等;会诊科室覆盖骨科78例(25.41%)、神经内科30例(9.77%)、重症医学科29例(9.45%)等29个临床科室。会诊建议全部采纳有194例(63.19%),部分采纳有87例(28.34%),其中以抗感染治疗、营养支持治疗、围术期用药相关的会诊建议采纳率较高,而抗肿瘤药物应用相关会诊建议采纳率较低。结论:临床药师参与临床疑难病例会诊分析,可以临床需求为导向地提升临床药师专业素质,建立独具特色的药学服务。
Objective: To provide reference for improving the professional quality of clinical pharmacists and establishing characteristic pharmacy services. Methods: The situation and quality of clinical critical pharmacists involved in clinical consultation in our hospital from June 2012 to December 2013 were analyzed statistically. Results: Clinical pharmacists participated in 81 cases (26.38%) in the whole hospital and 226 cases (73.62%) in inter-departmental consultation. The consultation mainly involved 291 cases (71.34%) of the development of anti-infective program, 23 cases (7.49%) of nutrition supportive treatment and 20 cases (6.51%) of perioperative medication. The consultation department covered 78 cases (25.41%) of orthopedics, Cases (9.77%), Department of Critical Care Medicine 29 cases (9.45%) 29 clinical departments. Among them, 194 (63.19%) were adopted in the consultation and 87 (28.34%) were partially adopted, of which, adoption of anti-infective therapy, nutrition supportive therapy and perioperative medication-related consultation recommended a high adoption rate, while the application of anti-tumor drugs Related consultation recommended adoption rate is lower. Conclusion: The participation of clinical pharmacists in clinically difficult case consultation analysis can improve the professional quality of clinical pharmacists and establish a unique pharmacy service based on clinical needs.