临床药师病区合理用药咨询分析与工作流程探讨

目的规范我院临床药师在临床病区合理用药咨询标准工作流程,分析用药咨询情况,提高临床药学服务质量,加强临床用药风险防范。方法收集整理我院2009年3～9月临床药师合理用药咨询登记表310例,从涉及咨询人员类别、意见接纳程度、药品种类及内容分类等方面进行统计分析。结果医生是最主要的咨询人员（79.03%）,意见接纳程度达97.42%,被咨询次数最多的4类药物分别是：抗微生物药物、主要作用于循环系统的药物、激素及调节内分泌功能药物和抗肿瘤药,分别占27.94%、12.70%、9.21%和8.25%,咨询内容以用药方案选择最多（35.62%）,其次是不良反应的咨询（12.66%）。结论我院临床药师在临床用药咨询服务中操作规范,指导安全合理用药方面成绩显著,但还需进一步完善以提高合理用药水平。

Analysis and Workflow Discussion of Rational Drug Consultation in Wards Made by Clinical Pharmacists

Objective To promote the quality of clinical pharmaceutical care and enhance risk prevention of clinical drugs by analysis and workflow discussion of rational drug consultation in wards made by clinical pharmacists. Methods A total of 310 cases of medication consultation records in our hospital from March to September in 2009 were summarized and analyzed statistically based on the classification on the type of consulters and drugs consulted and the content of consultations. Results The doctor was the major consulter,and the percent of advice to accept was 97.42%. The top four types of medicines in terms of consultation frequency in descending order were as follows：anti-infective drugs,cardiovascular drugs,hormones and endocrine system regulation agent,and antineoplastic agents,the percent was 27.94%,12.70%,9.21% and 8.25% respectively. Recommendation of drug use was the most frequent subject（35.62 %） in classification of drug consultation,the next was adverse reaction（12.66%）. Conclusion The medica-tion consultation made by clinical pharmacists in our hospital achieved remarkable efficiency,but the quality of the medication consultation service remains to be further improved.