今日药学

2019, v.29(11) 785-787

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广东省药学会处方审核培训班学员精神科审方能力评价
Evaluating the Ability of Psychiatric Prescription Audit for Pharmacists Who Had Taken Part in the Prescription Audit Training Held by Guangdong Pharmaceutical Association

陈宏镇;陈雨晴;谢焕山;于东港;王占璋;卢浩扬;张明;尚德为;温预关;
CHEN Hongzhen;CHEN Yuqing;XIE Huanshan;YU Donggang;WANG Zhanzhang;LU Haoyang;ZHANG Ming;SHANG Dewei;WEN Yuguan;Department of pharmacy,The Affiliated Brain Hospital of Guangzhou Medical University/Guangzhou Huiai Hospital;College of Pharmacy,Jinan University;

摘要(Abstract):

目的评价"处方审核能力培训学习班"学员的精神科审方能力以及合理用药水平,提出存在的问题与不足,为提高医院药师的专业素质以及服务水平提供建议与参考。方法应用帕累托法,回顾性分析两期"处方审核能力培训学习班——精神科药物处方审核要点培训课"上学员提交的779例不合理处方案例点评。结果大部分学员具有较高的专业素质以及合理用药水平。用药适宜性是处方审核的重点以及难点,对于精神科药物处方审核来说,用法用量不适宜以及临床诊断与用药不符是不合理处方中存在的主要问题。结论医院药师应重点掌握精神药物的适应证以及正确的用法用量,及时更新药品知识,提升自身专业技术水平,转变现有的药学服务模式,将工作重心从药品调剂转移到服务患者身上,提升药师在诊疗活动中的地位。
OBJECTIVE The aim of this study is to evaluate the ability of prescription audit and rational drug use for students who had taken part in the training class for prescription audit and provide suggestions and references to improve the professional quality and service level for pharmacists. METHODS A total of 779 psychotropic cases' prescriptions comment submitted by trainees were reviewed and analyzed by applying the Pareto 's principle. RESULTS Professional quality and the level of rational use of drug for pharmacists were qualified. The key point and difficulty for prescription audit was medication suitability. In addition,"improper usage and dosage"and "clinical diagnosis does not conform to medication "were the main problems for unreasonable prescription in the prescription audit for psychotropic drugs. CONCLUSION Pharmacists are supposed to improve the professional quality,change the concept of pharmaceutical care and shift the work focus from drug dispensing to ensured the safety of drug use for patients so as to elevate the status of pharmacists in the treatment activities.

关键词(KeyWords): 药师;处方审核;精神科药物;药学服务
pharmacist;prescription audit;psychotropic drug;pharmaceutical care

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基金项目(Foundation): 广东省自然科学基金资助项目(2015A030313808);; 广东省卫生计生适宜推广项目(粤卫办函[2018]326号);; 广州市医学重点学科建设资金资助项目(穗卫科教[2016]18号)

作者(Author): 陈宏镇;陈雨晴;谢焕山;于东港;王占璋;卢浩扬;张明;尚德为;温预关;
CHEN Hongzhen;CHEN Yuqing;XIE Huanshan;YU Donggang;WANG Zhanzhang;LU Haoyang;ZHANG Ming;SHANG Dewei;WEN Yuguan;Department of pharmacy,The Affiliated Brain Hospital of Guangzhou Medical University/Guangzhou Huiai Hospital;College of Pharmacy,Jinan University;

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