维持性透析患者肠外营养药学会诊路径建立及实践

Practice and Establishment of Pharmacy Consultation Pathway for Maintenance Dialysis Patients with Parenteral Nutrition

目的通过建立肠外营养药学会诊工作路径,保证透析患者药学会诊工作的规范化。方法将肠外营养药学会诊工作分为肠外营养制剂信息化建设、会诊处方设计路径、会诊随访与监护路径,并将会诊过程中涉及的专业知识点明确化。结果通过制定透析患者肠外营养药学会诊路径,进一步规范了药学会诊工作,营养相关的药学会诊例数增加74.0%,药学会诊接纳率从92.4%提高至97.9%。透析患者肠外制剂医嘱合理率由33.0%上升至88.0%。结论建立药学会诊工作路径,是提升药学会诊接纳率、实现专业知识及工作经验的传承、促进药学服务规范化的有效途径。

Objective To establish a consultation pathway in the pharmacy care for dialysis patients with parenteral nutrition in order to ensure the standardization of pharmacy consultation.Methods The consultation pathway was divided into three phases:information construction of parenteral nutrition preparation,consultation prescription design pathway,consultation follow-up and monitoring pathway.The professional knowledge which was involved in the consultation pathway could be pointed out and confirmed.Results Through the development of pharmacy consultation pathway for dialysis patients,the work of pharmacy consultation was further standardized.The number of nutrition related pharmacy consultation increased by 74.0%,and the acceptance rate of pharmacy consultation increased from 92.4%to 97.9%.Furthermore,the rate of the rational parenteral nutrition prescriptions was increased significantly from 33.0%to 88.0%.Conclusion Establishment of a pharmacy consultation pathway is an effective way to improve the acceptance rate of pharmacy consultation,achieve the inheritance of professional knowledge and work experience,and promote the standardization of pharmacy care.