Evaluation of the effectiveness of clinical pharmacists'application of MTM in medically prescribed interventions for patients with type 2 diabetes mellitus
Objective:To explore the role of medication therapy management(MTM)in the intervention of the medical orders by specialty clinical pharmacist and physician.Methods:Six hundred hospitalized patients with type 2 diabetes mellitus were randomly divided into a control group and an intervention group with 300 cases each.The control group was not intervened with medical orders based on MTM while the intervention group was intervened with MTM by clinical pharmacists.The irrational medical orders were compared between the two groups.Results:There were a total of 290 unreasonable medical prescriptions,232 in the control group and 58 in the intervention group.In terms of drug indications,safety,and efficacy medication issues,the rate of unreasonable medical prescriptions in the intervention group was lower than that in the control group(P<0.05).The top three unreasonable medical prescriptions were the medication without indications or no effectiveness for the current condition and the reduction of effective dose due to drug interactions.Conclusion:Clinical pharmacists perform intervention of medical orders based on MTM,which can improve the quality of medical order review and promote the rational and safe use of drugs in clinical practice.
medical order reviewmedication therapy managementdiabetes