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省级药事管理质控体系的建立与江苏省61家医院临床药学发展现状
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| 篇名： | 省级药事管理质控体系的建立与江苏省61家医院临床药学发展现状 |
| TITLE： | |
| 摘要： | 目的：促进医院临床药学的发展。方法：介绍江苏省药事管理质控体系建立后在促进医院临床药学发展方面的措施；通过收集质控中心建立的 “江苏省药事管理质控网报系统”中2014年1月－2016年12月的各样本医院的各项临床药学指标（临床药师数量、临床药学实践范围、临床药学实践活动数量、治疗药物监测（TDM）数量和药品不良反应上报数量等），分析江苏省医院临床药学发展现状。结果：质控中心制订及采取的各项措施包括扩大临床药师培训规模、加强抗菌药物合理应用培训、制定省内合理用药规范、开展药学品管圈活动等；共纳入61家医院的临床药学指标数据，分析结果表明，与 2014年1月比较，2016年12月各样本医院临床药师数量由平均4.72名增至5.86名；覆盖的专科数略有增加；临床药学实践数量（每周查房次数、书写药历及书写病例分析份数、进行用药指导例数、开展药物咨询例数）显著增加；临床药师覆盖床位数达289张；TDM品种数由7.38种增至7.87种，平均年监测数达1 293人次；药品不良反应月上报数由14.71件增至19.34件，但参与会诊例数和新的、严重的不良反应上报件数略有下降。结论：依托江苏省药事管理质量控制体系的建立，江苏省内61家医院临床药学服务水平及服务能力均得到提高。 |
| ABSTRACT： | OBJECTIVE： To promote the development of hospital clinical pharmacy. METHODS： The measures which promoted the development of hospital clinical pharmacy after established by Jiangsu quality control system for pharmacy management were introduced. Through collecting clinical pharmacy indexes （the number of clinical pharmacists， the range of clinical pharmacy practice， the number of clinical pharmaceutical practice， the number of therapeutic drug monitoring （TDM）， the number of reported ADR， etc.） in Jiangsu Province Pharmacy Management Quality Control Network Reporting System established by Quality Control Center during Jan. 2014-Dec. 2016， the development of clinical pharmacy in Jiangsu hospital were analyzed. RESULTS： The measures formulated and adopted by Quality Control Center included expanding the scale of clinical pharmacists training， strengthening the training of rational use of antibiotics， formulating provincial rational drug use standard， carrying out pharmaceutical quality control circle activities， etc. The data of clinical pharmacy indexes were collected from 61 hospitals. The results showed that， compared with Jan. 2014， the number of clinical pharmacists in sample hospitals increased from 4.72 to 5.86 in Dec. 2016； the number of involved special departments increased slightly； clinical pharmacy practice （weekly rounds number， medication history writing， case analysis， medication guidance， drug counseling） increased significantly； the number of beds managed by clinical pharmacists reached 289 beds； the types of TDM increased from 7.38 to 7.87， the number of yearly monitoring was 1 293； the number of monthly reported ADR increased from 14.71 to 19.34， but the number of consultation， new/severe ADR decreased slightly. CONCLUSIONS： Both service ability and service level of clinical pharmacy in 61 hospitals in Jiangsu have been improved by the establishment of the provincial quality control system for pharmacy management. |
| 期刊： | 2018年第29卷第1期 |
| 作者： | 房文通，潘祺琦，罗璨，孟玲 |
| AUTHORS： | FANG Wentong，PAN Qiqi，LUO Can，MENG Ling |
| 关键字： | 江苏省；药事管理质控体系；临床药师；临床药学；治疗药物监测；药品不良反应 |
| KEYWORDS： | Jiangsu province； Quality control system for pharmacy management； Clinical pharmacist； Clinical pharmacy； Therapeutic drug monitoring； ADR |
| 阅读数： | 276 次 |
| 本月下载数： | 24 次 |
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