摘要
Abstract
OBJECTIVE: To investigate the drug consultation status an questions in People's Hospital of Peking University (hereinafter referred to as "our hospital"). METHODS: A total of 21 468 cases of drug consultation records in our hospital were selected in 2017. The composition of consultants, the questions of consultation and the content of drug consultation were analyzed, and the Pareto chart was drawn. Meanwhile, the main, secondary and general factors were analyzed. RESULTS: Among the drug consultants, there were 8 907 males (41.49％) and 12 561 females (58.51％), more females than males. There were 6 702 cases (31.22％) of telephone consultation and 14 766 cases (68.78％) of on-site consultation, and on-site consultation was the main part. The main consultation questions were basic information, usage and dosage, special population medication, special dosage form and medication precautions and so on; Pareto diagram analysis results showed that basic information, usage and dosage, special dosage form, special population medication and medication precautions were the main factors, drug selection, patient education and drug interaction were the secondary factors. The content of drug consultation were mainly cardiovascular system drugs, respiratory system drugs, anti-infective drugs, central nervous system drugs and specialist drugs and so on; Pareto chart analysis results showed that cardiovascular system drugs, respiratory system drugs, anti-infective drugs, central nervous system drugs and specialist drugs were the main factors, hormones and related drugs, drugs that affect allergy and immune function were the secondary factors. CONCLUSIONS: Pharmacists provide drug counseling service for patients is helpful for the clinical rational drug use. Consulting pharmacists should strengthen the professional learning, improve the pharmaceutical service skills in a more targeted way, provide better pharmaceutical service, strengthen communication with clinicians and nurses and answer questions about medication timely, so as to promote the rational clinical drug use.关键词
药物咨询/合理用药/帕累托图分析Key words
Pharmaceutical consultations/Rational drug use/Pareto chart分类
医药卫生
