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闭环式药学监护模式的构建与实践效果评价

范菁 唐昊翔 王银辉 范炜斌 林彬

中国临床药学杂志2024,Vol.33Issue(6):418-424,7.
中国临床药学杂志2024,Vol.33Issue(6):418-424,7.DOI:10.19577/j.1007-4406.2024.06.004

闭环式药学监护模式的构建与实践效果评价

Construction and evaluation of the implementation effectiveness of a closed-loop pharmaceutical care model

范菁 1唐昊翔 2王银辉 1范炜斌 1林彬1

作者信息

  • 1. 浙江省长兴县人民医院药学部,长兴 313100||浙江省湖州市智能药学与个体化治疗重点实验室,长兴 313100
  • 2. 浙江省长兴县疾病预防控制中心,长兴 313100
  • 折叠

摘要

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.

关键词

药学监护/医共体/闭环式/临床药学

Key words

pharmaceutical care/medical consortium/closed-loop/clinical pharmacy

引用本文复制引用

范菁,唐昊翔,王银辉,范炜斌,林彬..闭环式药学监护模式的构建与实践效果评价[J].中国临床药学杂志,2024,33(6):418-424,7.

基金项目

湖州市公益性应用研究项目(编号2023GY60) (编号2023GY60)

中国临床药学杂志

OACSTPCD

1007-4406

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