住院患者药物治疗决策的评估

Assessment of Drug Therapy Decisions for Inpatients

住院患者的药物治疗是一个多学科合作的过程,其决策是通过医嘱由医生完成的,而药师和护士则需要对决策进行评估,然后才能实施。药物治疗评估的目标是用药的合理性、完整性和可执行性。我们需要依据相关的法令法规和规章制度、医药护知识以及临床资料等评估用药方案是否符合诊断、病情、患者和药物特点,评估药学监护措施是否存在不足或缺陷,评估用药指导是否充分。通过评估可以发现药物治疗方案的错误或不当给予及时的干预,或发现药物治疗的困难给予协助和化解,同时形成相应的药物治疗执行计划,并完善用药指导。

The treatment for inpatients is a multidisciplinary cooperation process. The decision made by doctors is documented by medical orders. As the medical orders couldn＇t be perfect, such orders must be assessed by pharmacists and nurses. The goals of drug therapy assessment are the rationality, integrity and implementation. We should assess whether the drug therapy programs were fit to diagnosis, illness, patient and pharmacy,whether the pharmaceutical care measures were deficient or defective, and whether the drug educations were sufficient. On the bases of the relative laws, and rules, medicine and nursing knowledge, as well as the clinical materials the orders are assessed. So that, we could improve the orders .find the difficult or risks, formulating the implementation plan of the drug therapy, and modifying the drug educations.