临床药师干预医师用药61例分析

目的:提高临床药师干预医师用药的成功率。方法:分析2008年10月-2009年10月期间临床药师干预医师用药61例情况,包括干预方式、医师接受程度、干预失败所涉及的用药问题和原因分析。结果:临床药师干预医师用药成功率为85.25%(52/61),与医师面对面讨论后干预用药成功率提高(95.00%),医师较主治医师及以上者接受度高,干预成功率分别为88.37%、77.78%;干预失败所涉及用药问题中药物选择方面(药物选择违反相关规定+无依据联合用药)比例较高(52.94%),其次是用药疗程过长(35.29%);分析干预失败原因:医师不重视药师意见、过分相信自己的临床经验。结论:应加强对医师尤其是高年资医师用药相关知识的宣教,提高其合理用药的认知度;药师应提高其自身业务素质,以提升其在用药方面的权威性;临床药师及时、主动干预医师用药值得推广实践。

Analysis of 61 Cases of Clinical Pharmacists Intervening Medical Order about Drug Usage

OBJECTIVE： To improve the success rate of clinical pharmacists intervening medical order about drug usage. METHODS： 61 cases of clinical pharmacists intervening medical order about drug usage during Oct. 2008-Oct. 2009 were ana- lyzed, including the means of intervening, doctor acceptance, analysis of the reasons for intervening failure. RESULTS： The success rate of clinical pharmacists intervening medical order about use of drug was 85.25% （52/61）, the success rate was increased after face to face discussion （95.00%）. There was better acceptance in physicians than physicians in charge or above, and the success rates were 88.37% and 77.78%. Intervening failure was mainly caused by drug choice （52.94%）, followed by over-long medication time （35.29%）. The reasons for intervening failure were that doctor set little attention to the advice of clinical pharmacists and trust themselves too much. CONCLUSIONS： Medication education for physicians should be strengthened especially in veteran physicians. The cognition of physicians on rational use of drugs should be improved. Clinical pharmacists should improve their professional ability and their authority in respect of drug use. Clinical pharmacists intervene with medical order about drug usage in time, which deserve to be popularized.