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沙特国王大学附属医院临床药学服务的发展及其对提供医疗质量的影响。

Development of Clinical Pharmacy services at King Khalid University Hospital and its impact on the quality of healthcare provided.

机构信息

Pharmacy Services, King Saud University Hospitals, P.O. Box 59466, Riyadh 11525, Saudi Arabia.

出版信息

Saudi Pharm J. 2012 Jul;20(3):273-7. doi: 10.1016/j.jsps.2012.05.001. Epub 2012 May 11.

DOI:10.1016/j.jsps.2012.05.001
PMID:23960800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3745041/
Abstract

Clinical Pharmacy is a unique service provided by the leading pharmacy departments in the United States. The concept of Clinical Pharmacy evolved after the significant increase in number of pharmaceuticals in the market and the increasing potential of drug interactions. However, the Clinical Pharmacist is not merely an individual who advises on drug interactions. There are a number of functions which include but are not limited to; the design of appropriate drug therapy, such as Pharmacokinetic assessment and evaluation to optimize drug therapy, drug information dissemination to the physicians and other healthcare providers and participation as a toxicology consultant in Poison management. At the King Khalid University Hospital (KKUH) the first Clinical Pharmacy services program began in 1983. The aim of this study is to evaluate the impact of our Clinical Pharmacy program on the patients' care as well as its perception by the Medical staff that came from different parts of the world. Our Clinical Pharmacists were asked to record any suggestions or interventions in the form. The forms were all collected at the end of each day and entered into a database for analysis. Each intervention was analyzed in order to assess the merit of the action in terms of the therapeutic, financial and direct cost impact. The study showed a positive impact on the patients' care as well as on the economy of the drugs prescribed. Meanwhile, the service was very much appreciated by the Medical staff as well as other healthcare providers.

摘要

临床药学是美国领先的药房部门提供的一项独特服务。临床药学的概念是在市场上药物数量的显著增加和药物相互作用的潜在增加之后发展起来的。然而,临床药师不仅仅是一个就药物相互作用提供建议的人。有许多职能,包括但不限于:设计适当的药物治疗,如药代动力学评估和评价,以优化药物治疗、向医生和其他医疗保健提供者传播药物信息以及作为毒理学顾问参与中毒管理。在哈立德国王大学医院(KKUH),第一个临床药学服务项目于 1983 年开始。本研究旨在评估我们的临床药学计划对患者护理的影响,以及来自世界各地的医务人员对该计划的看法。我们的临床药师被要求以表格的形式记录任何建议或干预措施。表格在每天结束时收集并输入数据库进行分析。对每个干预措施进行分析,以根据治疗、经济和直接成本影响评估该措施的价值。研究表明,该计划对患者护理以及所开药物的经济性都产生了积极影响。同时,该服务也受到医务人员和其他医疗保健提供者的高度赞赏。

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本文引用的文献

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Impact of clinical pharmacy services on renal transplant recipients' adherence and outcomes.临床药学服务对肾移植受者依从性及治疗结果的影响。
Patient Prefer Adherence. 2008 Feb 2;2:287-92. doi: 10.2147/ppa.s4174.
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Cost effectiveness of a clinical pharmacist on a neurosurgical team.神经外科团队中临床药师的成本效益
Neurosurgery. 2009 Nov;65(5):946-50; discussion 950-1. doi: 10.1227/01.NEU.0000347090.22818.35.
4
The impact of clinical pharmacists on drug-related problems and clinical outcomes.临床药师对药物相关问题及临床结局的影响。
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5
Evidence of the economic benefit of clinical pharmacy services: 1996-2000.临床药学服务经济效益的证据:1996 - 2000年
Pharmacotherapy. 2003 Jan;23(1):113-32. doi: 10.1592/phco.23.1.113.31910.
6
Impact of clinical pharmacy services on renal transplant patients' compliance with immunosuppressive medications.临床药学服务对肾移植患者免疫抑制药物依从性的影响。
Clin Transplant. 2001 Oct;15(5):330-6. doi: 10.1034/j.1399-0012.2001.150505.x.