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药学巡诊：一种新型医院药学服务模式
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| 篇名： | 药学巡诊：一种新型医院药学服务模式 |
| TITLE： | Pharmacy active consultation：an innovative model of hospital pharmaceutical services |
| 摘要： | 药学巡诊是指临床药师主动前往临床科室，协助医师解决临床中用药相关问题，提出药物治疗意见或提供药学服务的活动，并形成有医疗效力的文书记录。药学巡诊与药学会诊的区别，在于后者一般是由临床医师提出，在医院信息系统中向药剂科发出会诊邀请，临床药师接收后前往会诊，而前者是由临床药师主动到临床科室开展的药学服务模式。在常规药学巡诊的基础上，我院临床药师还进一步开展了专项巡诊（包括对多重耐药菌阳性患者的即时专项巡诊、对药物性肝损伤患者的主动监测与干预）以及以药学巡诊回访形式开展的药学监护等。药学巡诊及其专项巡诊具有主动、及时、广覆盖的特点，可以作为传统驻科形式的补充，帮助药学部门提升服务效能，为医疗机构开展高效药学服务提供新角度，也为国家药事服务改革提供新思路。 |
| ABSTRACT： | Pharmacy active consultation refers to the spontaneous activity that clinical pharmacists take the initiative to go to clinical departments to help doctors solve problems related to drug use in clinical practice ，put forward drug treatment suggestions or provide pharmaceutical services ，and form medical documents . The difference between pharmacy active consultation and pharmacy consultation is that the latter is generally proposed by the clinician ，who sends a consultation invitation to the pharmacy department in the hospital information system ，and the clinical pharmacist will go to the consultation after receiving it ，while the former is a pharmaceutical service mode that the clinical pharmacist takes the initiative to carry out in the clinical department . On the basis of routine pharmacy active consultation ，clinical pharmacists in our hospital also further carried out a special active consultation mode （including prompt special active consultation for patients with multidrug resistance bacteria positive ，active monitoring and intervention for patients with drug -induced liver injury ），and patient pharmaceutical supervision in the form of return visit of pharmacy active consultation . Pharmacy active consultation and its special active consultation possess the characteristics of initiative ， early and extensive coverage ，as a supplement to resident clinical pharmacy services . Pharmacy active consultation could help the pharmacy department to improve service efficiency ，provide a new perspective for medical institutions to carry out efficient pharmaceutical services ，and supply new ideas for the reform of pharmaceutical services in China . |
| 期刊： | 2022年第33卷第21期 |
| 作者： | 杜倩，奚鑫，董杰，朱俊，黄贵丽，苟静惠，冉海龙，陈诚，柏占锋，李东炫，董育珠，李文军，宋义，刘松青 |
| AUTHORS： | DU Qian，XI Xin，DONG Jie，ZHU Jun，HUANG Guili，GOU Jinghui， RAN Hailong，CHEN Cheng，BAI Zhanfeng，LI Dongxuan，DONG Yuzhu，LI Wenjun，SONG Yi，LIU Songqing |
| 关键字： | 药学巡诊；药学服务；临床药师；回访；多重耐药菌；药物性肝损伤 |
| KEYWORDS： | pharmacy active consultation ；pharmacy services ；clinical pharmacist ；revisits；multidrug resistance bacteria ；drug- |
| 阅读数： | 566 次 |
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