1 development of pharmaceutical services in social hospitals

Since 1978, China has proposed to carry out pharmaceutical services in hospitals. After more than 30 years' development, most of the top three hospitals have set up clinical pharmacy specialty, and many universities have set up clinical pharmacy specialty. Clinical pharmacist training and post-graduation re-education programs have been implemented; Clinical pharmacists actively participate in drug therapy, pharmaceutical service, drug consultation and drug education.

2 the status quo of pharmaceutical care in university hospitals

2. 1 Pharmaceutical work is mainly drug dispensing.

University hospitals are mainly outpatient pharmacies, and only about 20% universities have inpatient wards. Pharmaceutical work is mainly about drug dispensing, and rarely carries out clinical pharmaceutical work, prescription review, antibiotic use management, adverse drug reactions and so on.

2.2 shortage of pharmaceutical technicians

Most university hospitals belong to the infirmary and health care center, and most of them are understaffed. Some schools and hospitals also have non-pharmaceutical technicians as pharmacists.

2.3 The knowledge and skills of pharmaceutical personnel need to be improved.

There are relatively few pharmacists with high academic qualifications and senior professional titles in university hospitals, and there are few opportunities to go out for further study. At the same time, because the work performance of university hospitals is not linked to performance, pharmacists' enthusiasm for active learning is not high.

2.4 leadership attention is not enough

Colleges and universities mainly focus on teaching and scientific research in related professional fields, while hospitals are subordinate to colleges and universities, and their work is not valued by school leaders. The leaders of university hospitals are mostly doctors. Due to professional restrictions, they often only pay attention to drug procurement, supply and drug dispensing, while ignoring drug quality management and pharmaceutical services.

Discussion on pharmaceutical service in university hospitals

3. 1 the basis of pharmaceutical service development

(1) Introduction and training of pharmaceutical personnel. Introduce some clinical pharmacists and update pharmaceutical personnel. Strengthen the training, assessment and management of existing pharmaceutical personnel, formulate training plans, and organize pharmaceutical personnel to learn new medical policies and regulations such as the Measures for the Administration of Clinical Application of Antibacterials and the Provisions on the Administration of Pharmaceutical Affairs in Medical Institutions. Pharmacists in our hospital must participate in the licensed pharmacist training sponsored by the US Food and Drug Administration in Nanjing and the continuing medical education sponsored by the Nanjing Medical Association every year, and take the completion of credits as the assessment index. At the same time, pharmacists should also strengthen self-study and training to improve the level of pharmaceutical services.

(2) Standardize prescription management system and promote rational drug use. Pharmacists must conscientiously carry out four checks and ten pairs, and in the process of prescription, they must strictly implement the operating procedures to ensure the accuracy of the drugs issued. Improve pharmaceutical service mode and improve students' medication compliance. Pharmacists should explain the precautions to patients according to the instructions of each drug.

3.2 Further development of pharmaceutical care

(1) according to the characteristics of colleges and universities, strengthen the propaganda of rational drug use. University hospitals mainly serve teachers and students, who are highly educated, receptive and relatively concentrated in residence. Health education classes and expert lectures are used to emphasize the safety of medication and help patients avoid adverse drug reactions and adverse events during medication. Combined with the actual situation of existing drugs in schools and hospitals, drug publicity and education work should be carried out in a targeted manner.

(2) Providing pharmaceutical consulting services through the school network platform. Use the school website to establish a professional medical service platform, take the collection and collation of pharmaceutical information as a routine work, and open up a pharmaceutical consultation column. Teachers and students are not limited by time and place, so they can consult drugs conveniently and quickly.

(3) Personalized pharmaceutical care for different patients. Our college organizes physical examinations for faculty and staff every year, and conducts entrance examinations for undergraduates and graduate students. Physical examination files are filed in the school hospital. According to the actual situation of patients, individualized pharmaceutical services are implemented, and medication guidance is given to improve the compliance of patients with medication.

Four suggestions on pharmaceutical care in university hospitals

4. 1 Random prescription review is conducted irregularly.

Patients in our hospital include free medical care, medical insurance, self-funded and other forms. The professional level of doctors is uneven, and sometimes there are excessive and unreasonable combination drugs in prescriptions. Prescription evaluation system should be established, prescription evaluation form should be filled in, prescription dynamic monitoring and abnormal early warning should be implemented, irrational prescriptions should be registered and notified, and irrational drug use should be intervened in time. University hospitals should conduct random checks and comments from time to time according to actual conditions.

4.2 Adverse Drug Reaction Monitoring

Due to the shortage of manpower and busy work, most university hospitals have not set up an adverse drug reaction monitoring team, but now there are more and more adverse drug reactions, and the monitoring of adverse drug reactions can not be ignored. University hospitals can monitor adverse drug reactions in their daily work, such as handling patients' drug withdrawal, pharmaceutical consulting services and doctors' diagnosis, so as to improve the safety of drug use for in-school patients.

4.3 Antibacterial drug use monitoring

Antibacterials are one of the most widely used drugs in clinic. Proper and reasonable use of antibacterial drugs can improve the curative effect, reduce adverse reactions and reduce or delay the occurrence of bacterial drug resistance.

5 conclusion

University hospitals play an indispensable role in the construction and development of universities. Pharmaceutical service is an important link and powerful supplement of medical service. Only by changing the service concept and working mode can we better protect the development of colleges and universities.