Application and practice of'1+X'grid mode in pharmaceutical care competency training of prescription-checking pharmacists
Objective To explore a new model of training and practice of prescription-checking pharmacists with clinical pharma-cists as the core by establishing standardized,systematic,and feasible training methods and curriculum systems,and to provide refer-ences for the construction of training and examination mechanisms for prescription-checking pharmacists at all levels of healthcare in-stitutions.Methods The"1+X"grid prescription-checking pharmacists training mode was constructed from the three levels of spe-cialty,team,and work.Rational drug use analysis software was used to analyze and evaluate the application effect of"1+X"prescrip-tion-checking mode from January to October 2022 at The First Affiliated Hospital of University of Science and Technology of China,and the Likert scale was used to set the self-evaluation satisfaction level of prescription-checking pharmacists.Based on this,a ques-tionnaire was designed to assess pharmaceutical care competence before and after training.Results Following training in the"1+X"grid model,prescription-checking pharmacists effectively optimized 225 prescription-checking rules.Consequently,the proportion of monthly prescriptions checked by pharmacists decreased from 5.24%to 2.56%,and the proportion of monthly prescriptions intervened by pharmacists decreased from 19.32%to 11.17%,meanwhile,there was a significant reduction in the number of physician-modified prescriptions,pharmacist-intervened prescriptions,and the overall medication error reporting rate,all of which enhanced the efficiency of prescription-checking work.Prescription-checking pharmacists had achieved varying degrees of improvement in their personal quali-ties,basic knowledge and skills,professional knowledge and skills,and internal drive(P<0.05).Conclusion The application effect of"1+X"working mode is remarkable and easy to popularize,which can improve the core competence of pharmacists,ensure medication safety,and meet the needs of current policies and practical work.
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