【摘要】 1997年广东省佛山市南海中医院在“总量控制,结构调整”工作中,药师承担起合理用药的监督职能,从此,药师开始走向临床。开展了药师查房、药师会诊、药师对医生合理用药考评、药师对门诊处方、住院病历用药质控、药物不良反应监测和重点药物血药浓度监测、药物咨询和用药宣教等系列临床药学工作。通过7年探索与实践,逐步形成了制度化、规范化,且具有成效的临床药学工作模式,医生接受合理用药程度逐步提高;临床药师更加深入地融入到临床药物治疗中去;药品比例得到较好控制;门诊抗生素使用比例、针剂使用比例逐步下降;细菌培养+药敏试验占抗生素比例逐步提高;医院业务得到稳步增长。说明我院临床药学工作在促进我院合理用药,保证医疗安全,保证“总量控制,结构调整”工作的良性完成,树立医院良好社会形象以及促进医院经济发展等方面起到了积极的作用,同时也使药师成为推动医院合理用药的主力军。更多还原

【Abstract】 From 1997, Guangdong Fushan Nanhai Chinese Traditional Medicine Hospital began to probe clinical pharmaceutistservices and monitoring suitable medicine during the reform “controlling total income and changing income structure”. From thenon, pharmacetuist began to practice clinical services, including checking patients, supervising prescription and so on. A workingmodel of clinical medicine service has been developed and the suitable rate has been improved. Clinical pharmacetuists cooperatewith doctors better. Antibiotic and injection rate decreased graduately. The ratio of antibiotic prescription with germ culture andmedicine-sensitive test increases. All these show that clinical medicine services improve suitable prescription and clinical safety,enhance hospital reputation. Clinical pharmacetuist becomes the main power for suitable prescription.更多还原