临床药师对内分泌科住院医嘱的干预及效果评价

Intervention and effect evaluation of clinical pharmacist on the doctor's orders in department of endocrinology

目的:探索临床药师在内分泌科的工作模式。方法:利用医嘱系统,分别抽取干预前后的医嘱数据,对药品的类别、使用频次进行统计,并将干预前后医嘱的合理性进行对比分析。结果:四次调研中,药师审查的医嘱共涉及药品216种(共计20 444频次)。干预后1个月、半年和1年,不合理医嘱条数比例比干预前分别下降11.36%、6.57%和2.24%,且干预后1个月和半年的不合理医嘱与干预前相比存在显著性差异。结论:持续性的主动干预的工作模式能够提高临床药师的工作效率,帮助临床维持医嘱的合理性。

Objective： To explore the working mode of clinical pharmacists in the department of endocrinology. Methods： The medical orders before and after intervention were extracted by HIS. The category and frequency of drug were statistically analyzed. The rationality of the doctor＇s advice before and after the intervention were compared and analyzed. Results： A total of 4 surveys were performed. And 216 kinds of drugs （20 444 frequencies） were involved. The number of unreasonable orders decreased by 11.36%, 6.57% and 2.24% at one month, six months and one year of the intervention respectively. And there were signifcant differences between the numbers of unreasonable orders before and after intervention at one month and six months. Conclusion： The persistently active work patterns can improve the efficiency of clinical pharmacists and help to maintain the rational use of drugs.