肾内科临床药师在药物整合服务中的实践探索

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

x 关闭永久关闭

应中央军委要求，2022年9月起，《药学实践杂志》将更名为《药学实践与服务》，双月刊，正文96页；2023年1月起，拟出版月刊，正文64页，数据库收录情况与原《药学实践杂志》相同。欢迎作者踊跃投稿！

肾内科临床药师在药物整合服务中的实践探索

张晓荧, 张四喜, 周微, 宋燕青

文章导航 > 药学实践与服务 > 2015 > 33(1): 88-90

张晓荧, 张四喜, 周微, 宋燕青. 肾内科临床药师在药物整合服务中的实践探索[J]. 药学实践与服务, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

引用本文:

张晓荧, 张四喜, 周微, 宋燕青. 肾内科临床药师在药物整合服务中的实践探索[J]. 药学实践与服务, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

ZHANG Xiaoying, ZHANG Sixi, ZHOU Wei, SONG Yanqing. Practice of medication reconciliation services by clinical pharmacists of nephrology department[J]. Journal of Pharmaceutical Practice and Service, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

Citation:

ZHANG Xiaoying, ZHANG Sixi, ZHOU Wei, SONG Yanqing. Practice of medication reconciliation services by clinical pharmacists of nephrology department[J]. Journal of Pharmaceutical Practice and Service, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

肾内科临床药师在药物整合服务中的实践探索

doi: 10.3969/j.issn.1006-0111.2015.01.025

吉林大学第一医院药品管理部, 吉林长春 130012

Practice of medication reconciliation services by clinical pharmacists of nephrology department

Department of Pharmacy, First Hospital of Jilin University, Changchun 130012, China

摘要: 目的通过临床药师在肾内科对药物整合(medication reconciliation)的实践,探讨临床药师在药物整合中的重要作用。方法对2014年1月18日-2月18日入院的20名患者进行药物整合,主要通过询问患者近1年内的用药情况,对比入院医嘱和药师询问结果,分析存在差异的原因。结果药品数量与入院医嘱不相符率占60%,药品产地不同占55%,药师问诊的准确率更高。结论临床药师在药物整合中起到重要的作用,通过加强医生和患者对药物整合的重视,以及加强医院系统网络建设等措施可以更好地帮助医务工作者实行药物整合服务,减少用药差错的产生。
- 药物整合 /
- 临床药师 /
- 药学实践
Abstract: Objective To discuss the important role of clinical pharmacists in medication reconciliation through the practice of clinical pharmacists of nephrology department. Methods The medication reconciliation serviced for the patients newly admitted to nephrology department was carried out through the way of interrogation.The difference and the causes between the results of pharmacist's interrogation and the doctors' were analyzed. Results 20 patients were enrolled.The quantity was not consistent with what hospital doctor's advice rate (60%),drugs produced in different areas (55%),different producing areas pharmacist had higher accuracy. Conclusion It had certain effect on medication management and could reduce the ADR.Clinical pharmacists and doctors should pay more attention on the medication reconciliation,strengthen the ability of interrogation to improve patient compliance and establish a complete medication reconciliation system.
- medication reconciliation /
- clinical pharmacist /
- pharmacy practice

[1]	Developed through the ASHP Council on Pharmacy Practice and approved by the ASHP Board of Directors on April 13,2012,and by the ASHP House of Delegates on June 10,2012.ASHP statement on the pharmacist's role in medication reconciliation[J].Am J Health Syst Pharm,2013,70(5):453-456.
[2]	Geurts MM,Talsma J,Brouwers JR,et al.Medication review and reconciliation with cooperation between pharmacist and general practitand the benefit for the patient:a systematic review[J].Br J Clin Pharmacol,2012,74(1):16-33.
[3]	Gleason KM,McDaniel MR,Feinglass J,et al.Results of the medications at transitions and clinical hands-off(MATCH) study:an analysis of medication reconciliation errors and risk factors at hospital admission[J].Gen Intern Med,2010,25(5):441-447.
[4]	Tam VC,Knowles SR,Cornish PL,et al.Frequency,type and clinical importance of medication history errors at admission to hospital:A systematic review[J].Can Med Assoc J,2005,173(5):510-515.
[5]	Hume AL,Kirwin J,Bieber HL,et al.Improving care transitions:current practice and future opportunities for pharmacotherapy[J].ACCP,2012,32(11):326-337.
[6]	张晓娟,杨敏.开展药物整合防范用药错误.2011年临床药学学术年会暨第七届临床药师论坛资料汇编,2011.
[7]	王海燕.肾脏病临床概览[M].北京:北京大学医学出版社,2010:129-130.
[8]	武冀春,刘烨,屈桂秋.环孢霉素A与其他药物的相互作用[J].首都医药,2001,8(12):30.
[9]	郝彦林,王治邦.环孢霉素与某些药物相互作用的研究进展[J].中国药房,1992,3(3):32-33.
[10]	The Joint Commision.Using medication reconcilation to prevent errors[Z].Sentinel Event Alert,Issue 35.2006.

[1]	李莹, 钱皎, 朱全刚. 临床药师参与心脏瓣膜置换术后患者的药学服务实践与体会 . 药学实践与服务, 2023, 41(4): 255-258. doi: 10.12206/j.issn.2097-2024.202201087
[2]	罗晶晶, 吴新安, 薛刚, 解正东, 叶剑波, 戎成婷. 临床药师参与1例足部损伤患者术后MRSA感染治疗的药学监护 . 药学实践与服务, 2022, 40(3): 286-288. doi: 10.12206/j.issn.1006-0111.202102004
[3]	张芸婷, 付慧, 李冬洁, 黄芳, 沈甫明. 临床药师参与1例胃癌术后腹腔感染合并蜂窝组织炎患者的药学监护 . 药学实践与服务, 2022, 40(6): 580-582. doi: 10.12206/j.issn.2097-2024.202107101
[4]	梅洪梁, 谢菡, 张晋萍, 张海霞. 临床药师参与1例妊娠合并肠道艰难梭菌感染治疗的药学实践 . 药学实践与服务, 2021, 39(2): 182-185. doi: 10.12206/j.issn.1006-0111.202008016
[5]	冯于洛, 王雅葳, 褚燕琦, 闫素英. 临床药师床旁教育实践及患者依从性评价 . 药学实践与服务, 2018, 36(6): 554-556,560. doi: 10.3969/j.issn.1006-0111.2018.06.017
[6]	毕小婷, 刘文, 马云琪, 陈剑鸿. 临床药师参与1例妊娠合并重症急性胰腺炎治疗的药学实践 . 药学实践与服务, 2018, 36(1): 83-87. doi: 10.3969/j.issn.1006-0111.2018.01.018
[7]	曹伟, 方洁. 临床药师参与重症医学科药物治疗实践的体会 . 药学实践与服务, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
[8]	王涛, 邓昂. 内分泌科临床药师参与1例糖尿病合并高催乳素血症患者的治疗实践 . 药学实践与服务, 2015, 33(2): 167-170. doi: 10.3969/j.issn.1006-0111.2015.02.020
[9]	邢颖, 高薇, 李锦. 内、外科临床药师工作实践类型对比分析 . 药学实践与服务, 2015, 33(1): 91-93. doi: 10.3969/j.issn.1006-0111.2015.01.026
[10]	李莉霞. 临床药师参与药学会诊控制术后感染的体会 . 药学实践与服务, 2014, 32(5): 383-385. doi: 10.3969/j.issn.1006-0111.2014.05.020
[11]	居宇峰, 石禹. 临床药师参与糖尿病合并肺部感染患者药学服务的实践与体会 . 药学实践与服务, 2014, 32(6): 460-461,468. doi: 10.3969/j.issn.1006-0111.2014.06.015
[12]	樊蓉, 党大胜, 赵庆春, 史国兵. 临床药师参与处置伏立康唑致血液系统肿瘤患者视觉障碍的临床实践 . 药学实践与服务, 2013, 31(4): 307-309. doi: 10.3969/j.issn.1006-0111.2013.04.020
[13]	郑重践, 眭玉霞, 黄旭慧, 孙红, 庄捷. 临床思维对临床药师开展临床实践的指导作用 . 药学实践与服务, 2013, 31(2): 145-147. doi: 10.3969/j.issn.1006-0111.2013.02.019
[14]	凡炼炼, 刘玉梅, 马海明, 李忻. 浅谈抗菌药物专业临床药师进修体会 . 药学实践与服务, 2010, 28(4): 308-310.
[15]	官东秀, 冯祚臻. 临床药师对1例服用分子靶向药物吉非替尼的肿瘤患者的药学监护 . 药学实践与服务, 2010, 28(4): 310-312.
[16]	丁晴雪, 栾智鹏, 陈盛新. 如何制定、实施和监测药物治疗方案 . 药学实践与服务, 2009, 27(4): 317-320.
[17]	冯惠坚, 栾智鹏, 陈盛新. 医院药师如何开展循证药物治疗 . 药学实践与服务, 2009, 27(6): 476-480.
[18]	蒯丽萍, 陈征宇. 国际药学联合会军事与急救药学分委会简介 . 药学实践与服务, 2008, (3): 220-221.
[19]	佟雪菲, 陈盛新, 蒯丽萍, 忻伟明. 药学人力资源现状分析与开发对策 . 药学实践与服务, 2007, (2): 114-116.
[20]	陆军, 赵文. 浅谈临床药学如何走出困境 . 药学实践与服务, 2006, (6): 367-370.

WeChat

点击查看大图

计量

文章访问数: 2024
HTML全文浏览量: 138
PDF下载量: 202
被引次数: 0

肾内科临床药师在药物整合服务中的实践探索

doi: 10.3969/j.issn.1006-0111.2015.01.025

吉林大学第一医院药品管理部, 吉林长春 130012

收稿日期: 2014-03-19
修回日期: 2014-06-24

关键词:

摘要: 目的通过临床药师在肾内科对药物整合(medication reconciliation)的实践,探讨临床药师在药物整合中的重要作用。方法对2014年1月18日-2月18日入院的20名患者进行药物整合,主要通过询问患者近1年内的用药情况,对比入院医嘱和药师询问结果,分析存在差异的原因。结果药品数量与入院医嘱不相符率占60%,药品产地不同占55%,药师问诊的准确率更高。结论临床药师在药物整合中起到重要的作用,通过加强医生和患者对药物整合的重视,以及加强医院系统网络建设等措施可以更好地帮助医务工作者实行药物整合服务,减少用药差错的产生。

English Abstract

张晓荧, 张四喜, 周微, 宋燕青. 肾内科临床药师在药物整合服务中的实践探索[J]. 药学实践与服务, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

引用本文:

张晓荧, 张四喜, 周微, 宋燕青. 肾内科临床药师在药物整合服务中的实践探索[J]. 药学实践与服务, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

ZHANG Xiaoying, ZHANG Sixi, ZHOU Wei, SONG Yanqing. Practice of medication reconciliation services by clinical pharmacists of nephrology department[J]. Journal of Pharmaceutical Practice and Service, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

Citation:

ZHANG Xiaoying, ZHANG Sixi, ZHOU Wei, SONG Yanqing. Practice of medication reconciliation services by clinical pharmacists of nephrology department[J]. Journal of Pharmaceutical Practice and Service, 2015, 33(1): 88-90. doi: 10.3969/j.issn.1006-0111.2015.01.025

全文HTML

参考文献 (10)

/

下载: 全尺寸图片幻灯片

分享

用微信扫码二维码

分享至好友和朋友圈

返回

版权所有：《药学实践与服务》编辑委员会

主管、主办: 中国人民解放军海军军医大学地址: 上海市杨浦区国和路325号邮政编码: 200433

电话: （021）81871324,81871397 E-mail: yxsjzzs@163.com

网站备案号沪ICP备05003363号-1

本系统由北京仁和汇智信息技术有限公司开发