摘要
目的 构建闭环式药学监护模式,为住院患者提供高标准的药学服务,为临床合理用药和精准用药服务提供参考.方法 基于在药学监护模式探索中的经验,构建临床药师驻科模式与医共体居家药学服务相结合的闭环式药学监护服务体系.从患者住院天数与静脉使用抗菌药物时间、不合理医嘱率、医患满意度3个方面对闭环式药学监护模式实施效果进行评价.结果 该模式整合了药学查房、药学监护、药学会诊与指导、个体化治疗药物监测、药学信息咨询、用药教育、居家药学服务等多个环节,形成一个闭环药学服务链条,在缩短住院时间、降低住院患者静脉使用抗菌药物时间、减少不合理医嘱率和提高医患满意度方面均有获益.结论 该模式不仅提升了药学服务的质量,还改善了患者的就医体验,为同行开展规范化、标准化的药学监护提供了参考.
Abstract
AIM To establish an integrated,feedback-driven pharmaceutical care model aimed at delivering superior pharmacy services to hospitalized patients,thereby providing a valuable resource for promoting clinical rational drug use and advancing precision medicine practices.METHODS A robust closed-loop pharmaceutical care service system was intended to be fostered,based on the insights gained from experimenting with pharmaceutical care models.This system would meld the clinical pharmacist department-based model with the medical community's home pharmaceutical services.The success of the closed-loop approach would be assessed by 3 key metrics:the length of hospital stay and the duration of intravenous antibiotic use,the frequency of irrational medical orders,as well as the level of patient satisfaction.RESULTS The model encompasses a comprehensive array of services,including pharmaceutical rounds,pharmaceutical care,pharmaceutical consultations,personalized therapeutic drug monitoring,information counseling,medication education,and home-based pharmaceutical services,to create a cohesive closed-loop pharmaceutical care framework.It had benefited in terms of shortening hospital stays,reducing the duration of intravenous antimicrobial use in inpatients,minimizing inappropriate medical orders,and enhancing satisfaction among medical staff and patients.CONCLUSION This model not only enhances the quality of pharmaceutical services but also improves the patient experience,providing reference for colleagues in implementing standardized and normative pharmaceutical care.
国家科技期刊平台
NSTL
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