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[药剂师对大学医院药品销售服务中门诊处方的干预措施]

[Pharmacist's interventions on outpatient prescriptions in a university hospital drugs sales service].

作者信息

Chappuy M, Garcia S, Uhres A-C, Janoly-Dumenil A, Dessault J, Chamouard V, Bréant V, Leboucher G, Pivot C, Carpentier I

机构信息

Service pharmaceutique, groupement hospitalier Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.

Pharmacie centrale des hospices civils de Lyon, 57, rue Francisque-Darcieux, 69230 Saint-Genis-Laval, France.

出版信息

Ann Pharm Fr. 2015 Jul;73(4):297-306. doi: 10.1016/j.pharma.2014.11.001. Epub 2015 Jan 2.

Abstract

UNLABELLED

For public health reasons, some drugs are only available in hospital drugs sales service. This activity takes place in a specific risk context of organization, patients and/or drugs. A systematic prescription analysis by pharmacist contributes to securise treatment dispensed. The aim of this paper is to present the main drugs problems in the analysis of outpatient prescriptions and pharmaceutical interventions in three units of hospital drugs sales service belong to university hospital.

METHODS

Throughout the year 2013, drug problems detected were recorded prospectively and systematically.

RESULTS

Of the 22,279 prescriptions analyzed, 247 pharmaceutical interventions (1.1%) were detected including 27.6% of problems concerning the dosages, 15.4% the unconformity, 6.9% contraindications. Regarding ATC drugs classes, we found 43.7% for anti-infectives and 17.4% for antineoplatics. The overall acceptance rate is 81.8%.

CONCLUSION

These results show the importance of the analysis of outpatient prescriptions before dispensing and the need to have all prescriptions, clinical and biological elements and to develop interprofessionality. The implementation of a platform for dematerialized data exchanges between professionals, including data from the pharmaceutical patient record should contribute to improving drug management of the patient.

摘要

未标注

出于公共卫生原因,一些药物仅在医院药品销售服务中提供。此活动在组织、患者和/或药物的特定风险背景下进行。药剂师进行系统的处方分析有助于确保所配发治疗的安全性。本文旨在介绍大学医院所属的三个医院药品销售服务单元在门诊处方分析和药学干预中的主要药物问题。

方法

在2013年全年,前瞻性且系统地记录检测到的药物问题。

结果

在分析的22279张处方中,检测到247次药学干预(1.1%),其中包括27.6%的剂量问题、15.4%的不符合问题、6.9%的禁忌问题。关于解剖学治疗学及化学分类系统(ATC)药物类别,我们发现抗感染药物占43.7%,抗肿瘤药物占17.4%。总体接受率为81.8%。

结论

这些结果表明在配药前分析门诊处方的重要性,以及获取所有处方、临床和生物学要素并发展跨专业合作的必要性。实施一个专业人员间非物质化数据交换平台,包括来自药学患者记录的数据,应有助于改善患者的药物管理。

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