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目的:了解临床药师参与临床会诊形式及效果,探讨临床药师会诊流程及工作模式。方法:基于工作实际,通过团队交流讨论建立并运用临床药师会诊流程图及会诊登记表,同时回顾性调查分析2009年3月~2014年2月我院临床药师参与会诊的410例病例。结果:我院临床药师严格执行会诊流程实施临床会诊,效果显著,会诊例数由2009年度的59例上升至2013年度的122例;会诊科室涉及内、外科共21个科室和病区;会诊需求以抗感染药物方案调整为主;会诊意见整体接纳率为95.12%。结论:临床药师已经成为临床治疗工作的一个重要组成部分,通过临床药师会诊流程图和会诊登记表可规范会诊工作,提高会诊意见采纳率和会诊质量。
Objective: To understand the clinical pharmacist participation in clinical consultation form and effect, to discuss clinical pharmacist consultation process and working patterns. Methods: On the basis of practical work, we established and used clinical pharmacist consultation flow chart and consultation registration form through team exchange and discussion, and retrospectively investigated and analyzed 410 cases of clinical pharmacists participating in consultation in our hospital from March 2009 to February 2014. Results: The clinical pharmacists in our hospital strictly implemented the consultation process to achieve clinical consultation with remarkable results. The number of consultation increased from 59 in 2009 to 122 in 2013. There were 21 departments and wards in the consultation department involving internal and surgical departments. The consultation needs Anti-infective drug programs to adjust the main; consultation views the overall acceptance rate of 95.12%. Conclusion: The clinical pharmacist has become an important part of the clinical treatment work. Through the clinical pharmacist consultation flow chart and the consultation registration form, the consultation work can be regulated to improve the consultation rate and consultation quality.