欧洲药学监护联盟分类系统在儿科用药相关问题中的探索和实践OACSTPCD

Objective:To probe into the application of Pharmaceutical Care Network Europe(PCNE)classification system in pediatric medication-related issues.Methods:Children hospitalized in pediatrics of the Fourth Affiliated Hospital of Nanjing Medical University from Nov.2021 to Oct.2022 were selected as the research subjects.Professional clinical pharmacists participated into the ward round and reviewed the medical orders.The PCNE classification system(version 9.1)was used to evaluate the occurrence of drug-related problems(DRPs)in children,and the types,causes,intervention programs,acceptance of intervention programs of DRPs were analyzed.Results:A total of 1,184 children were enrolled,professional clinical pharmacists found 304 children with different degrees of DRPs(336 cases)during hospitalization.There were 175 questions(52.08％)related to treatment efficacy and 117 questions(34.82％)related to treatment safety in the types of DRPs.The main reasons for the occurrence of DRPs were low dosage of drugs and long treatment course in the type of causes.There were 292 actual interventions,with a success rate of 86.90％.Conclusion:Introduction of PCNE classification system can improve the ability of clinical pharmacists to find and solve DRPs,and PCNE classification system can be used as an entry point to establish the perfect pharmaceutical monitoring system,accurately analyze DRPs,promote rational drug use,and ensure the safety of drug use for children.