摘要
目的:探讨肿瘤药学亚专科团队提供药学联合查房服务的工作模式和应用实践。方法:该院药学部自2019年组建肿瘤药学亚专科团队,主要成员包括肿瘤药师(西药师+中药师)、疼痛药师、营养药师和抗感染药师等专科药师,对该院肿瘤住院患者筛选目标病例后组织多学科药师联合查房。收集2019—2021年该院300例肿瘤患者,对其进行疼痛、营养、骨髓抑制等风险分级评估,对符合“药学联合查房”入组标准的患者开展线上线下药学联合查房,考察药师建议采纳率、患者治愈/好转出院率、服务满意度等指标,评价该药学服务模式的应用价值。结果:通过药学联合查房,构建了“筛选病例→药学联合会诊(线上+线下)→落实药学建议→随访、总结”的服务模式,并结合该院实际情况,制定了药学联合查房的工作制度和流程。针对185例符合“药学联合查房”入组标准的患者,开展线下药学联合查房56例,线上药学会诊129例;提供药师建议352项,其中医师采纳311项,采纳率为88.35%;3例患者在院死亡,182例患者顺利出院,治愈/好转出院率为98.38%;药师跟踪回访220例次,完成营养评估205份,生活质量评估210份,癌性疼痛评估42份,药学服务满意度为98.18%(216例次)。结论:肿瘤药学亚专科团队药学联合查房服务模式的建立,为住院肿瘤患者提供了多方位、全程化的优质药学服务。
OBJECTIVE:To probe into the working pattern and application practice of oncology pharmacy subspecialty team to provide pharmacy joint rounds service.METHODS:The oncology pharmacy subspecialty team was established under the pharmacy department of this hospital since 2019,with the main members including oncology pharmacists(western pharmacists and pharmacists of traditional Chinese medicine),pain pharmacists,nutritional pharmacists,anti-infective pharmacists and other specialist pharmacists,so that the multidisciplinary pharmacist joint rounds was performed after screening target cases of cancer inpatients in this hospital.Totally 300 cancer patients in this hospital during 2019-2021 were selected,and their risk levels including pain,nutrition and bone marrow suppression were evaluated,the online and offline pharmaceutical joint rounds were conducted on patients who meet the enrollment criteria of“pharmaceutical joint rounds”,so that the adoption rate of pharmacist recommendations,cure/improvement discharge rate,service satisfaction and other indicators were inspected to evaluate the application value of the pharmacy service model.RESULTS:Through the pharmaceutical joint rounds,the service model of“cases screening→pharmaceutical joint consultation(online+offline)→implementation of pharmaceutical recommendations→follow-up and summary”was established,according to the actual situation of the hospital,the working system and process of pharmacy joint rounds were formulated.For 185 patients who met the inclusion criteria of“pharmaceutical joint rounds”,56 cases of offline pharmacy joint rounds and 129 cases of online pharmacy joint rounds were carried out;352 pharmacist recommendations were provided,of which 311 were adopted by physicians,with an adoption rate of 88.35%;3 patients died in the hospital,182 patients were discharged successfully,with a cure/improvement rate of 98.38%;220 case-time of pharmacist follow-up visits were performed,205 nutritional assessments,210 quality of life assessments and 42 cancer pain assessments were completed,and the satisfaction rate of pharmacy services was 98.18%(216 case-times).CONCLUSIONS:The establishment of pharmaceutical joint rounds service model of oncology pharmacy subspecialty team provides multifaceted and full course high-quality pharmaceutical service for inpatient with cancer.
作者
陈琳
郑晓娴
于迪
夏凡
汪皖青
CHEN Lin;ZHENG Xiaoxian;YU Di;XIA Fan;WANG Wanqing(Dept.of Pharmacy,the First Affiliated Hospital of Soochow University,Jiangsu Suzhou 215006,China)
出处
《中国医院用药评价与分析》
2022年第11期1393-1396,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
国家临床重点专科(临床药学)建设项目(国卫办医函[2018]292号)
苏州市2020年度科技发展计划项目(No.SYSD2020175)。
关键词
肿瘤药学
联合查房
服务模式
Oncology pharmacy
Joint rounds
Service model
作者简介
陈琳,副主任中药师,硕士。研究方向:临床药学。E-mail:chenliner198506@163.com;通信作者:汪皖青,主管药师,硕士。研究方向:临床药学。E-mail:wanqingwangsuzhou@163.com。
