医疗机构药学服务中的中药药物警戒实践探讨

Pharmacovigilance of Traditional Chinese Medicine in Pharmaceutical Care in Medical Institutions

目的探讨医疗机构如何结合药学服务岗位开展中药药物警戒实践。方法通过文献综述和课题组前期临床调研结果,梳理医疗机构药学服务现状和中药药物警戒中存在的问题,结合本课题组20余年的中药药物警戒研究成果,探讨药学服务岗位中的中药警戒实践。结果医疗机构是我国实施药物警戒的基层单位,其药学服务水平是保障药物警戒实施的基本要素。结论提出应重视中药药物警戒在医疗机构药学服务中的作用,加强中药药物警戒能力建设,构建以医疗机构临床药师为主体,以药物警戒为切入点,探索全程化药学服务的实践模式。

Objective To explore medical institutions carry out traditional Chinese medicine(TCM) pharmacovigilance practice combined with pharmaceutical service. Methods Through literature review and preliminary clinical research results, the current situation of pharmaceutical care and the problems of pharmacovigilance of TCM in medical institutions were mastered. Based on the results of pharmacovigilance of TCM in our research group, the risk of pharmacovigilance of TCM in pharmaceutical care posts was refined and practiced. Results Medical institutions were the basic units to implement pharmacovigilance in China, and their pharmaceutical care level is an important guarantee for the implementation of pharmacovigilance. Conclusion Attention should be paid to the role of pharmacovigilance of TCM in pharmaceutical care in medical institutions and strengthen the pharmacovigilance of Chinese medicine. A practical model should be established with clinical pharmacists in medical institutions as the main body and pharmacovigilance as the breakthrough point to carry out the whole-process pharmaceutical care.