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中国一家三级医院的临床药学服务实践

Clinical pharmacy service practice in a Chinese tertiary hospital.

作者信息

Chen Bing, Huang Jing-Jing, Chen He-feng, Xu Bei-ming

出版信息

Drug Metab Pers Ther. 2015 Dec;30(4):215-30. doi: 10.1515/dmpt-2015-0009.

Abstract

Clinical pharmacy service is focused on the rationality and safety of medication therapy. Clinical pharmacists play an important role in designing therapeutic regimen, preventing medication errors, reducing the incidence of adverse drug reaction, and saving medical costs. Although clinical pharmacy service in China is in its early stage, its development is rapid. In this manuscript, the working model of clinical pharmacists in a Chinese tertiary hospital is introduced, including ward rounds, consultation, stewardship of antimicrobial therapy, drug adverse reaction monitoring, therapeutic drug monitoring, clinical pharmacokinetics and pharmacogenetics, and training system. With the efforts of clinical pharmacists, there will be a significant increase in the optimization of medication therapy and a notable reduction in preventable adverse drug events as well as health-care cost in China.

摘要

临床药学服务专注于药物治疗的合理性与安全性。临床药师在设计治疗方案、预防用药差错、降低药物不良反应发生率以及节省医疗费用方面发挥着重要作用。尽管中国的临床药学服务尚处于起步阶段,但其发展迅速。本文介绍了中国一家三级医院临床药师的工作模式,包括查房、会诊、抗菌药物治疗管理、药物不良反应监测、治疗药物监测、临床药代动力学和药物遗传学以及培训体系。通过临床药师的努力,中国药物治疗的优化水平将显著提高,可预防的药物不良事件以及医疗保健成本将显著降低。

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