临床药师参与老年重症病例讨论的实效评估

Effectiveness of Clinical Pharmacists Participating in the Discussion of Senile Severe Cases

关键词:  老年重症病例  用药方案  药学实践  采纳率  实效  临床药师

Key words:  elderly severe cases  drug regimen  pharmacy practice  adoption rate  actual effect  clinical pharmacists

摘要:

目的 探讨临床药师参与老年重症病例讨论的实效。方法 围绕90例老年重症病例，回顾性总结临床药师推荐用药方案与医师采用情况、疾病转归和出院信息。结果 临床药师对90例患者的用药治疗方案共提出了620条用药建议，临床医师采纳率为59.4%，不被采纳的原因比较集中。综合分析，临床药师参与诊治能够改善治疗结局。结论 关于用药方案的临床采纳率和实效，临床药师需要充分认知与临床的分歧和自身不足，争取实现最大化的合理用药。

Abstract:

OBJECTIVE To discuss the effectiveness of clinical pharmacist participating in the discussion of elderly severe cases. METHODS Collect 90 cases of elderly severe cases, retrospectively summarize the clinical pharmacists recommended by the drug program and the use of doctors, as well as disease outcome, discharge information. RESULTS The clinical pharmacists proposed a total of 620 recommendations for the use of medications in 90 patients. The rate of adoption by clinicians was 59.4%. The reasons for not being adopted were more concentrated. In summary, the participation of clinical pharmacists in diagnosis and treatment can improve the outcome of treatment. CONCLUSION Regarding the clinical adoption rate and effectiveness of drug regimens, clinical pharmacists need to fully understand the differences between the clinical and their own deficiencies, and strive to maximize the rational use of drugs.