首页|基于高质量循证用药指南制定与实施的临床药学"实践-研究一体化"模式构建与实践

基于高质量循证用药指南制定与实施的临床药学"实践-研究一体化"模式构建与实践

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目的 探索基于高质量循证用药指南制定与实施的临床药学"实践-研究一体化"模式,助推临床药学学科建设.方法 阐述高质量循证用药指南制定与实施过程,构建临床药学"实践-研究一体化"模式,并以《中国大剂量甲氨蝶呤循证用药指南》为例探讨实践过程.结果 建立了"合理用药临床研究-药物循证评价研究-循证用药指南制定-指南实施性研究"的研究体系,凝练出"循证药学证据生态系统"的特色学科发展方向,探索出临床药学B-E-P(Bedside-Evidence-Practice)的"实践-研究一体化"模式.基于《中国大剂量甲氨蝶呤循证用药指南》实施,临床药师成功解救了1例大剂量甲氨蝶呤治疗后出现严重排泄延迟及急性肾损伤的患者.结论 实施以高质量循证用药指南为基础的临床药学"实践-研究一体化"模式,可助力提升药师药学服务能力,提高临床药物治疗水平,并促进临床药学学科建设与发展.
Construction and practice of the"practice-research integration"mode for clinical pharmacy based on the development and implementation of high-quality evidence-based medication guidelines
AIM To explore the"practice-research integration"mode of clinical pharmacy based on the formulation and implementation of high-quality evidence-based medication guidelines,and boost the construction of clinical pharmacy discipline.METHODS The formulation and implementation process of high-quality evidence-based medication guidelines was explained,the"practice-research integration"mode of clinical pharmacy was established,and the practice process of the"Evidence-based guideline of medication therapy of high-dose methotrexate"was discussed as an example.RESULTS A research system of"clinical research of rational drug use-drug evidence-based evaluation research-evidence-based medication guideline formulation-guideline implementation research"was established,the characteristic discipline development direction of"evidence-based pharmacy evidence ecosystem"was summarized,and the"practice-research integration"mode of clinical pharmacy B-E-P(Bedside-Evidence-Practice)was explored.Based on the"Evidence-based guideline of medication therapy of high-dose methotrexate",the clinical pharmacist successfully rescued a patient with severe excretion delay and acute kidney injury after high-dose methotrexate treatment.CONCLUSION The implementation of the"practice-research integration"mode of clinical pharmacy based on high-quality evidence-based medication guidelines can contribute to enhancing pharmacists'pharmaceutical service capabilities,improving the professional level of clinical drug therapy,and promoting the construction and development of clinical pharmacy discipline.

guideline formulationguideline implementationclinical pharmacyevidence-based pharmacyevidence ecosystem

宋再伟、赵荣生、陈耀龙、徐东

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北京大学第三医院药学部,北京 100191

北京大学医学部药物评价中心,北京 100191

北京大学治疗药物监测和临床毒理学中心,北京 100191

中国医学科学院循证评价与指南研究创新单元,兰州大学基础医学院,兰州 730000

甘肃省循证医学重点实验室,兰州 730000

南方医科大学卫生管理学院卫生管理系Acacia实施科学实验室,广州 510515

南方医科大学世界卫生组织研究中心,广州 510515

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指南制定 指南实施 临床药学 循证药学 证据生态系统

国家自然科学基金资助项目国家自然科学基金资助项目中央高校基本科研业务费资助项目

7230400772074005BMU2022XY004-01

2024

中国临床药学杂志
中国药学会

中国临床药学杂志

CSTPCD
影响因子:0.502
ISSN:1007-4406
年,卷(期):2024.33(6)