2010年～2013年某院临床药师参与会诊情况的总结与分析

Summary and Analysis of the Clinical Pharmacists Consultation in A Hospital from 2010 to 2013

目的 对我院临床药师参加临床会诊情况进行总结,分析相关指标变化趋势,为我院和同行临床药师今后的会诊工作方法和思路提供参考。方法 对2010年~2013年四年间我院临床药师参与会诊情况进行统计、对比与分析,主要指标包括：会诊数量、会诊形式、会诊目的、科室分布、患者年龄、请求会诊医师职称、会诊意见采纳程度等。结果 4年间会诊数量明显递增,会诊类型以科室单独请求会诊为主,会诊目的主要为抗菌药物方面问题,会诊科室内科高于外科,会诊医师初级、中级职称较多,患者年龄60岁以上居多,会诊意见接纳率逐年升高。结论 临床药师参与会诊的数量、范围、意见接纳程度逐年提高,临床非常需要临床药学人员的参与治疗,尤其低年资的医师更加需要,但会诊内容比较局限,应该关注除抗菌药物以外,其他药物问题的会诊及老年患者用药问题,并在会诊和日常工作中不断深入学习,进一步提高会诊能力。

Objective We summarized the consultation case of clinical pharmacists and analysised the trends of relevant indicators in our hospital, in order to providing references for our clinical pharmacists and peer in the future work. Methods Statisticsing the clinical consultation case from 2010 to 2013, the main indicators included：the number, form, purpose, distribution department, patient’s age, the doctor’s title and acceptance level of consultation opinion. Results The number increased obviously, the consultation type was mostly individual consultation that clinical department requested, consultation purpose was antibacterial drug problems, consultation of internal medicine department was more than surgery’s, the primary and intermediate title were more, the patients’age was mostly over 60 years old, The acceptance rate of consultation opinion increased year by year. Conclusion The number, scope, acceptance rate increased year by year, the clinical doctors need clinical pharmacy to join in their theatment team very much, especially the doctors with lower title, but the content of the consultation is limited, we should pay attention to others drug consultations expect the antimicrobial agents, elderly patients and improve the ability of consultation further by studying continuously in the consultation and daily work.