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目的了解本院临床药师参与临床会诊实践的效果,为促进医院药师职能转变提供依据。方法回顾性调查分析本院2011年1～12月涉及临床药师会诊的病历63例。结果 63例邀请药师会诊的病历都有病程记录,会诊目的为选择、调整和停止抗菌药物最多,其次是选择专科替代品种;会诊意见全部被临床采纳的60例(95.24%),部分采纳的3例(4.76%);采纳后痊愈56例(88.89%),好转6例(9.52%),死亡1例(1.59%)。结论临床医师对药师会诊有一定的需求且对药师的会诊建议依从性高。临床药师应不断学习临床和药学知识,才能提高会诊质量。
Objective To understand the effect of clinical pharmacists participating in clinical consultation practice and to provide basis for promoting the transformation of hospital pharmacist functions. Methods Retrospective investigation and analysis of 63 cases of clinical pharmacist consultation in our hospital from January to December in 2011. Results Sixty-three cases of physicians invited for medical consultation were all recorded in the course of their illness. The purpose of the consultation was to select, adjust and stop the antibacterial drugs, followed by the selection of specialist substitutes. All the 60 cases (95.24%) were clinically accepted and some partially adopted 3 (4.76%). 56 cases (88.89%) recovered after treatment, 6 cases (9.52%) recovered and 1 case (1.59%) died. Conclusions Clinicians have certain needs for consultation with pharmacists and have high compliance with consultation of pharmacists. Clinical pharmacists should continue to learn clinical and pharmacy knowledge, in order to improve the quality of consultation.