临床药师会诊评价与典型病例分析

Evaluation of Clinical Pharmacist Consultations and Typical Case Analysis

目的回顾分析临床药师会诊病例,评价会诊效果。方法对2011年1月—2014年12月临床药师参与731例次会诊进行系统回顾,统计申请科室、会诊问题分类、感染涉及器官系统、会诊目的、感染问题会诊建议分类、建议采纳情况、感染问题会诊效果,对典型病例进行分析。结果会诊数量及覆盖科室数逐年增加;会诊目的以制定抗感染治疗方案、确定抗感染疗程、确定抗菌药物剂量为主;会诊感染问题占86.0%,建议采纳率83.6%,建议采纳后临床有效率为84.3%;会诊非感染问题占14.0%,建议采纳率为100.0%。结论临床药师的专业技能得到医生认可;抗感染问题是深入开展临床药学工作的切入点。

Objective To evaluate the effect of clinical pharmacists on cases consultation by retrospective analysis.Methods Seven hundred and thirty-one consultation cases from January 2011 to December 2014 were systematically reviewed, and the clinical department, question classification, organ system of infection, consultation purpose, recommendation variety to infection problems, acception percentage, infection problem outcome were recorded.Furthermore, the typical cases were analysed.Results The number of consultations and clinical departments increased by years, formulating anti-infective therapeutic regimen, determining duration of therapy and drug dosage were the main purposes of consultation.The proportion of infection problems was 86.0%, adoption rate of recommendations was 83.6%, the clinical efficacy rate was 84.3% among them.The proportion of non-infectious problems was 14.0%, adoption rate of recommendations was 100.0%.Conclusion Clinical pharmacists＇ professional skills are respected by doctors.Anti-infection problem is a breakthrough point for deeply developing the work of clinical pharmacists.