妊娠期用药风险评估与沟通专科门诊的建立与实践

Establishment of Specialist Outpatient for Medication During Pregnancy Risk Assessment and Communication

目的探讨临床药师新型服务模式的开展,为临床药学工作者提供参考。方法孕妇通过挂"妊娠期用药风险评估与沟通门诊"门诊号或者由其他科室转至该门诊,临床药师采集孕妇用药等相关信息,对孕妇进行综合量化评估,得出主要风险点,并与孕妇进行沟通,做出倾向化的建议。结果自2012年8月在全省率先开展"妊娠期用药风险评估与沟通专科门诊"以来,截止2014年5月,门诊评估和沟通的孕妇1 078人次,咨询药物类别主要是紧急避孕药、抗感冒药、中药或中成药3大类,占总门诊量的73.01%(787人次)。明确怀孕情况下用药前来咨询的情况较少。结论开设"妊娠期用药风险评估与沟通专科门诊"符合目前临床及社会需要,不仅为医师及患者解决妊娠期用药风险评估问题,同时也促进临床药学专业的发展。

OBJECTIVE To explore new service models to carry out clinical pharmacists to provide reference for clinical pharmacy workers.METHODS Pregnant women could register ＂Medication During Pregnancy Risk Assessment and Communication＂ outpatient or by other departments to our department.Clinical pharmacist collected the use of pregnant women and other relevant information,through the comprehensive quantitative evaluation.It draw the conclusion that the main risk points,and communicated with the pregnant woman,made tendency of advice.RESULTS Since August 2012,ourhospital spearheaded in the province to carry out the specialist outpatient for medication during pregnancy risk assessment and communication.As of May 2014,1 078 pregnant women came to our outpatient department.The main categories of drug consultation was emergency contraception,anti-cold medicine,traditional Chinese medicine or Chinese medicine,accounting for 73.01%（787 people） of the total outpatient number.Clear pregnant cases medication came to the consultation of the less.CONCLUSION The creation of ＂Specialist Outpatient for Medication During Pregnancy Risk Assessment and Communication＂ consistent with current clinical and social needs,not only solve the problem of medication during pregnancy risk assessment for doctors and patients,but also promote the professional development of clinical pharmacy.