摘要
目的:对医院临床药学服务(Clinical Pharmacy Service,CPS)的过程质量进行评价,分析其核心要素和典型特征;方法:对典型医院临床药师参与疾病治疗工作的病例信息进行摘录、归类与分析,以临床药师向医师提出的医疗建议为分析对象;结果:97.34%的医疗建议能被医师接受并在临床药物治疗过程中实施,CPS干预主要针对用药品种、用药剂量、给药过程和临床检查进行,干预原因以改善药物疗效为主,抗菌药物在干预所涉及的病例中出现频次最高。结论:CPS干预在保证药物治疗的安全性方面尚需加强,而在药物使用的经济性方面尚未发挥作用。应逐步扩大CPS试点科室的范围,授予临床药师必要的医疗决策权,加强临床药师对药物临床使用安全性与经济性的干预。
Objective To evaluate the process quality of clinical pharmacy service （CPS） in some urban general tertiary hospi- tals and analyze the core elements and typical characteristics of. CPS. Methods The data involved the cases of clinical pharmacists participating in treatment which were from the clinical pharmacists＇ work documents were excerpted, categorized and analyzed. This paper focused on the clinical pharmacists＇medical suggestions for physicians;Results The 97.34% of medical suggestions were ac- cepted by physicians and implemented in medication management. The main interventions were recommendations for drug category, drug dosage, drug delivery and medical examination. The cause of interventions mainly included improving outcomes. The drugs used most frequently were antibiotics in the cases involved CPS interventions;Conclusion The CPS interventions could improve the safety of pharmacotherapy, though there is plenty of room for improvement. The CPS interventions could not improve the economics of the pharmacotherapy. The strategy of developing CPS is to expand the departments of CPS pilot hospitals and grant clinical phar- macists with the authority in decision support system for medication management ,which can improve CPS interventions in the safety and economy of pharmacotherapy.
出处
《中国卫生事业管理》
北大核心
2015年第8期613-616,共4页
Chinese Health Service Management
基金
国家自然科学基金项目"医院临床药学服务的影响因素分析与质量评价研究"(编号:71003055)
江苏省高等学校大学生实践创新训练计划项目"基于Delphi法的医院临床药学服务质量评价体系研究"(编号:2012JSSPITP1053)
关键词
临床药学服务
干预
过程质量
评价
clinical pharmacy service
intervention
process quality
evaluation
