我院慢性肾脏病患者药物重整服务模式的建立

Development of Medication Reconciliation Model for Chronic Kidney Disease in Our Hospital

目的探讨临床药师为慢性肾脏病(CKD)患者提供药物重整服务的模式。方法分析国内外对药物重整的定义、工作流程、发展现状等情况,对重整出来的用药问题采用欧洲药学监护网络基金会(PCNE)对药物相关问题(DRPs)的分类版本(V9.0)进行分析并干预。结合我院实际情况,通过具体案例阐述CKD患者药物重整的工作流程,并归纳总结。结果我院以CKD患者从门诊→住院→家3个地点变更为节点,构建了门诊→入院→出院这一闭环药物重整模式,并制定了相应的工作流程。结论我院CKD患者药物重整模式的建立使临床药师的药学服务工作更规范,减少了DRPs。

OBJECTIVE To develop the model of medication reconciliation(MR)service provided by clinical pharmacist for chronic kidney disease(CKD).METHODS The definition,working process,development of MR were analyzed and the medication problems we reviewed were classified and intervened according to the newest Pharmaceutical Care Network Europe(PC-NE)V9.0 classification scheme which was constructed for drug related problems(DRPs)to analysis and summary.We stated and summarized procedure of MR by several cases based on the realities of our hospital.RESULTS A new closed loop model of outpatient clinic to hospital,then to home was developed,a working process was made according to three settings consist of outpatient clinic,hospital and home.CONCLUSION The procedure of MR of several cases was summarized based on the realities on our hospital.