Department of Pharmacy, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Department of Pharmacy, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China
Eur J Hosp Pharm. 2021 Nov;28(Suppl 2):e8-e12. doi: 10.1136/ejhpharm-2019-002053. Epub 2020 May 31.
Our goal was to explore the pharmaceutical service and teaching methods of obstetric clinical pharmacists to establish standardised pharmaceutical care procedures for obstetric diseases.
According to the evidence-based medicine method, the "Standard of Pharmaceutical Care" was established to standardise the procedure and content of the pharmaceutical care procedure including preface, purpose, scope of application, responsibilities, procedures, references, and appendix, with seven parts in total. The object of the pharmaceutical care procedure was selected by the harmfulness of the disease and the drugs used. The clinical pharmacists in obstetrics formulated the pharmaceutical care procedure for each disease according to the standard and carried out clinical practice and teaching.A retrospective study was conducted to investigate the impact of the pharmaceutical care procedure before and after its implementation on both clinical practice and training. Obstetric pharmaceutical consultation and adverse reaction were the key indicators for clinical practice.The graduation assessment for students was strictly carried out in accordance with the regulations of the Chinese Hospital Association Pharmaceutical Affairs Professional Committee including communication and consultation capacity interview, case assessment, and training procedure assessment.
We established the standards for the pharmaceutical care procedures for three diseases: pregnancy with diabetes; pregnancy with thyroid disease; and pregnancy with hypertensive disorder. The clinical pharmacist conducted the pharmaceutical care procedure, participated in drug treatment management, and improved the recognition of the role of clinical pharmacists by the obstetric clinicians, often inviting the clinical pharmacists to participate in the consultations. The clinical pharmacists discovered and addressed any adverse reactions in a timely manner through patient drug education, subsequently reducing the underreporting of adverse reactions and improving the patient's medication compliance, which aimed to improve the medical quality of patients in our hospital. Second, the use of the pharmaceutical care procedure as a teaching tool helped to train students to grasp the key points of drug treatment and care of the disease and improve the students' scores in the graduation assessment (P<0.05).
As a pharmacy service and teaching method that can be promoted and implemented, the pharmaceutical care procedure is beneficial for clinical pharmacists to carry out in-depth pharmaceutical services and can also be used as a teaching tool for clinical pharmacist training.
探讨妇产科临床药师的药学服务与带教方法，为妇产科疾病建立规范的药学监护流程。
采用循证医学方法，依据《药学监护指南》建立标准药学监护流程，共 7 个部分，包括前言、目的、适用范围、职责、流程、参考文献和附录，规范药学监护流程的程序和内容，以疾病危害程度和用药选择监护对象。妇产科临床药师依据标准为每一种疾病制定药学监护流程并实施临床实践和教学。采用回顾性研究方法，调查实施前后药学监护流程对临床实践和教学培训的影响。以妇产科药学咨询和不良反应为临床实践的关键指标。学生毕业考核按照中国医院协会药事管理专业委员会的规定严格进行，包括沟通与咨询能力面试、病例考核、培训流程考核。
建立了妊娠合并糖尿病、妊娠合并甲状腺疾病、妊娠合并高血压疾病 3 种疾病的药学监护流程标准。临床药师实施药学监护流程，参与药物治疗管理，提高了妇产科临床医生对临床药师作用的认识，经常邀请临床药师参与会诊。临床药师通过患者用药教育及时发现和处理不良反应，减少不良反应漏报率，提高患者用药依从性，从而提高我院患者的医疗质量。其次，将药学监护流程作为教学工具，有助于培训学生掌握疾病药物治疗和护理要点，提高学生毕业考核成绩（P<0.05）。
药学监护流程作为一种可推广和实施的药学服务和教学方法，有利于临床药师开展深入的药学服务，也可作为临床药师培训的教学工具。
