中国药房2017,Vol.28Issue(29):4151-4153,3.DOI:10.6039/j.issn.1001-0408.2017.29.33
基于微信平台的儿科药学服务实践
Practice of the Pediatric Pharmaceutical Services Based on WeChat Platform
摘要
Abstract
OBJECTIVE:To investigate the effects of WeChat platform online service on the safety of pediatric family medica-tion and the quality of pharmaceutical care. METHODS:The online consultation records of"Qs and As for pediatric medications"were collected and summarized from the WeChat platform(WeChat ID:etyywd)during Jun.1st,2014-Dec.31st,2015 in our hos-pital. Statistical analysis was performed on the consulting time periods,age of pediatric patients with consultation demands,and the systems and mistake types involved in medication consultations. RESULTS:A total of 29 850 dialogue records on WeChat were collected,and 13 315 of these were related to medications(44.61%). The peak time of medication consultation was at 9:00-10:00 in the morning,with an accumulative consultation number of 1 840 cases(13.82%);while the least consultation time pe-riod was at 4:00-5:00 early in the morning,with only 13 cases(0.10%).Pediatric patients in need of consultation were more with-in the age of 1-6 years old,and most of them were preschool children(31.20%)and toddlers(26.32%). The systems consulted mainly involved the respiratory system,immune system and digestive system;in which respiratory system had the most cases (60.28%). There were 1 508 Qs and As records for medication mistakes that were occured or may occure and were corrected in time(11.33%),in which the mistake types were mainly the unsuitable use of antipyretics(3.91%),antibiotics abuse(3.14%), careless use of combination medication and excessive medication(3.04%),excessively large or small doses(0.69%),improper use of nebulized inhalant after discharge(0.41%),and excessive use of vitamins(0.14%). CONCLUSIONS:The WeChat plat-form expands the service scope of clinical pharmacists.As an extension of hospital pharmaceutical care,it reduces the risk of fami-ly medication mistakes due to a patient's or members'wrong recognition to a certain degree,reinforces communication between doctors and patients,and improves the experience of medical services.关键词
微信平台/儿科药学服务/家庭用药风险/用药差错Key words
WeChat platform/Pediatrics/Risk of family medication/Medication mistakes分类
医药卫生引用本文复制引用
孟琳懿,李志玲,姜志虎,邢文荣,胡文娟,孙华君..基于微信平台的儿科药学服务实践[J].中国药房,2017,28(29):4151-4153,3.基金项目
上海市科学技术委员会科研计划项目(No.15dz2354300) (No.15dz2354300)
上海交通大学医学院医院药学科研基金青年项目(No.JDYX2016QN018) (No.JDYX2016QN018)