强化药事管理对促进临床合理用药的效果研究

Effect of strengthening pharmacy administration on promoting rational medication in clinic

目的 :探讨强化药事管理对促进临床合理用药的临床价值。方法 :选取我院2015年1月至12月1 130张西药处方及63例患者作为对照组,行常规的药房管理,另取我院2016年1月至12月1 130张西药处方及63例患者作为研究组,在对照组的基础上实施强化药事管理,比较强化药事管理实施前后不合格处方发生率、药剂师药学知识掌握情况及患者用药满意率。结果 :研究组处方不合格率为0.80%,显著低于对照组的5.66%,实施强化药事管理后药剂师药学知识总掌握率显著高于实施前,研究组患者用药满意率高于对照组,差异均有统计学意义。结论 :强化药事管理有助于减少不合格处方发生率,帮助药剂师掌握药学知识,提高患者用药满意率,对促进临床合理用药具有重要的临床应用价值。

Objective： To explore the application value of strengthening pharmacy administration for rational medication in clinic. Methods： One thousand one hundred and thirty prescriptions for Western medicine and 63 cases of patients from Jan. to Dec. 2015 and the same amount prescriptions and cases from Jan. to Dec. 2016 were selected as a control group and a research group, respectively. The control group was taken routine pharmacy management while the research group was taken strengthening pharmacy administration. The incidence of unqualified prescriptions, the situation for pharmacists to master pharmaceutical knowledge and the satisfaction rate of patients with medication were compared before and after the implementation of pharmacy administration. Results： The failure rate of prescription was signifcantly lower in the research group than the control group （0.8% vs 5.66%）. The proportion for pharmacist to master pharmaceutical knowledge was signifcantly higher after the implementation of pharmacy administration than before and the satisfaction rate of patients with medication was higher in the research group than the control group （P〈0.05）. Conclusion： Strengthening pharmacy administration is of beneft to decreasing the incidence of unqualifed prescription, mastering pharmaceutical knowledge and improving the patients’ satisfaction degree, and possesses an important clinical application value in promoting rational medication in clinic.