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处方前置审核中审方药师的能力培养与案例分析
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| 篇名： | 处方前置审核中审方药师的能力培养与案例分析 |
| TITLE： | Cultivation of prescription-auditing pharmacists’ability in prescription pre-audit and case analysis |
| 摘要： | 目的 总结处方前置审核中审方药师的能力培养经验，并介绍审方药师参与用药干预的典型案例。方法2020年10月－2021年10月，在玉溪市人民医院（以下简称“本院”）采用“处方前置审核系统+审方药师”的审核模式，从药学相关专业知识培训，中英文医学检索工具、数据库和网站的使用培训及临床思维和沟通能力等方面培养审方药师的审方能力，通过构建审方药师能力评价表对其能力进行考核。结果与结论审方药师经过1年的能力培养，其处方（医嘱）合理率、医师主动修改问题处方（医嘱）占比和医师对审方药师干预的接受率呈上升趋势，审方药师的不合理处方（医嘱）干预平均时长呈缩短趋势，处方（医嘱）干预率呈下降趋势。除论文发表（属于加分项）外，审方药师能力评价表平均得分显著提高，由2020年10月的45.2分提高至2021年10月的97.6分。 |
| ABSTRACT： | OBJECTIVE To summariz e the expe rience of the ability training of prescription-auditing pharmacists in prescription pre-audit，and introduce the typical cases of the prescription-auditing pharmacists participating in the drug intervention. METHODS From October ，2020 to October ，2021，under the audit mode of “prescription pre-audit system+prescription-auditing pharmacists ” adopted by Yuxi People ’s Hospital （hereinafter referred to as “the hospital ”），the abilities of prescription-auditing pharmacists were cultivated from the aspects of training in pharmaceutical related professional knowledge ，training in the use of Chinese and English medical retrieval tools ，databases and websites ，and clinical thinking and communication ability ；through the construction of ability evaluation form of prescription-auditing pharmacists ，their abilities were assessed. RESULTS & CONCLUSIONS After one year ’s ability training ，the rational rate of prescription （doctor’s order ），the proportion of doctors ’active revision of problem prescription （doctor’s order ）and the doctor ’s acceptance rate of intervention by prescription-auditing pharmacists showed an upward trend ，the average time of irrational prescription （doctor’s order ）by prescription-auditing pharmacists showed a shortening trend ，and the intervention rate of prescription （doctor’s order ）showed a downward trend. In addition to the publication of papers （belonging to the bonus item ），the average score of the ability evaluation form of prescription-auditing pharmacists had significantly increased ， from 45.2 in October 2020 to 97.6 in October 2021. |
| 期刊： | 2022年第33卷第15期 |
| 作者： | 王丽，马悦，徐萍，施米丽，杨春松 |
| AUTHORS： | WANG Li，MA Yue，XU Ping，SHI Mili，YANG Chunsong |
| 关键字： | 审方药师；能力培养；处方前置审核；临床思维；沟通能力；文献检索 |
| KEYWORDS： | prescription-auditing pharmacists ；ability training ；prescription pre-audit ；clinical thinking ；communication skills ； |
| 阅读数： | 530 次 |
| 本月下载数： | 17 次 |
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