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Huang Banghua *, Cao Wei (Department of Clinical Medicine, First People's Hospital of Yunnan Province/Kunhua Hospital affiliated to Kunming Medical College, Kunming 650032)
China Library ClassificationNo. R972；; R969.3 Document ID number C1001-0408 (2010) 46-4409-03
Objective: To explore the breakthrough point for clinical pharmacists to carry out pharmaceutical care in cardiovascular medicine. Methods: Based on the working practice of clinical pharmacists in cardiovascular medicine, the characteristics of cardiovascular medicine and the contents and methods of pharmaceutical care were summarized. Results: Clinical pharmacists in cardiovascular department can provide pharmaceutical services from the aspects of non-specialist medication, patient medication education, rational use of antibiotics during perioperative period and safe use of traditional Chinese medicine injections. Conclusion: Only by strengthening clinical practice and grasping the starting point of clinical pharmacist work can the growth and success of clinical pharmacists be completed. Clinical pharmacist; Cardiovascular medicine; Pharmaceutical care
Characteristics and Methods of Clinical Pharmacy Department (Department of Clinical Pharmacy, First People's Hospital of Yunnan Province/Kunming Hospital Affiliated to Kunming Medical University, Kunming 650032)
Objective: to explore the ways for clinical pharmacists in cardiovascular medicine to participate in pharmaceutical work. Methods: Combined with personal clinical practice, the characteristics, contents and methods of cardiovascular internal medicine pharmacy were summarized. Results: Clinical medication, patient education, use of antibiotics in perioperative period, and injection of traditional Chinese medicine. Conclusion: It is easy to become a clinical pharmacist through cardiovascular intervention and participation in clinical practice. Keywords clinical pharmacist; Department of Cardiovascular Medicine; Pharmaceutical industry
Warning drug suppliers or taking measures to stop using the drug. Practice has proved that the joint action of pharmaceutical personnel and administrative departments is an effective measure.
three
3. 1
Strengthening reasonable monitoring and intervention by using hospital informatization
Relying on the existing computer network system
Automatic prescription screening system, also known as PASS system, is installed in the doctor's workstation of our hospital and connected with HIS system, which can realize the functions of real-time monitoring of doctor's orders and online inquiry of relevant drug information, and give an immediate alarm to some unreasonable drugs, especially drugs that may have drug interactions. Clinical pharmacists can also rely on this system to screen doctor's orders. For example, when monitoring or retrospectively analyzing a drug, after selecting inpatients or discharged patients, enter the name of the drug, and the discharged patients need to give the discharge time, so as to screen out the doctor's orders of all patients who use the drug, and also give other restrictive conditions for further screening, and then analyze them one by one. Using this system can save the time for pharmacists to review prescriptions, quickly inform the dosage, drug interaction, adverse reactions and compatibility contraindications of a drug, and prevent pharmacists from seconding cases to the medical record room for "sea election". In addition, you can also sort the dosage or amount of drugs through the "pharmacy management system", focusing on the investigation of drugs suspected of abnormal dosage.
3.2 Establish a computer to query the incompatibility of solvents.
Drug compatibility and solvent selection are the most common problems in the central prescription audit of intravenous preparations. The incompatibility between injection and solvent has been reported in several versions of drug incompatibility list and various literatures, but it is only limited to the older drug incompatibility, and new drugs are constantly introduced into clinic. These materials are not practical, and a large amount of drug information is obtained by querying newly edited pharmacological materials or drug instructions, which is extremely inconvenient in clinical prescription deployment. In order to change this situation, ensure the accuracy of information sources and the fast query speed, we have compiled a query program to manage the information of drugs and solvents with ACCESS universal database, which has been effectively applied in clinical dispensing centers.
* Pharmacist in charge. Research direction: clinical pharmacy. Tel: 087 1-363832 1. E-mail :ybxx2008@yahoo.cn
# Correspondent: Deputy Chief Pharmacist. Research direction: hospital pharmacy management and clinical pharmacy. Tel: 087 1-363832 1. E-mail :caowei@medmail.com.cn China drugstore
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If the expected goal is achieved. By establishing computer query, you can query notes in real time.
The compatibility of injection and solvent is taboo, and the doctor should be contacted to modify the doctor's order in time to ensure the safety of intravenous infusion.
3.3 Continuously develop and improve software for rational drug use.
Although the existing PASS system provides convenience for clinicians and clinical pharmacists, it still has obvious shortcomings. For example, the system should set the maximum dose of drugs, the solvent and dose of intravenous infusion, the medication should meet the diagnosis, the liver and kidney dysfunction should be disabled or the dose should be calculated automatically, and the second-line drugs can only be used after the first-line drugs are used up. If there is any violation, the system will automatically block the doctor's advice. In addition, it is necessary to quickly and accurately extract the data of antibacterial drug utilization rate, intravenous infusion rate and auxiliary drug utilization rate in various departments, so as to have an overall understanding of the drug use situation in the hospital. Studies have proved that using information technology to review prescriptions and medical records can reduce drug use by 3/4.
Modernization, make full use of the existing information errors in hospitals [4]. Only by introducing automation,
Can comprehensively improve resources and rational drug use.
4 conclusion
Practice has proved that there is a significant correlation between intervention methods and intervention effects. Due to proper methods, it not only achieved the purpose of interfering with irrational drug use, but also