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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

Practice of medication reconciliation services by clinical pharmacists of nephrology department

doi: 10.3969/j.issn.1006-0111.2015.01.025
  • Received Date: 2014-03-19
  • Rev Recd Date: 2014-06-24
  • 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.
  • [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.
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Practice of medication reconciliation services by clinical pharmacists of nephrology department

doi: 10.3969/j.issn.1006-0111.2015.01.025

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.

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
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