Exploration of carrying out responsible pharmacists system in inpatient pharmacy / 中国药学杂志

OBJECTIVE: To explore service model of inpatient pharmacy department for clinical department after medical reform and let the common pharmacists playing an active role. METHODS: "Responsible Pharmacists System" had built. Every pharmacists in the inpatient pharmacy department is responsible for several clinical departments. They communicate with doctors, nurses and patients regularly and solve the problems timely. They also guild the medication of patients and do pharmaceutical knowledge training for the nurses. RESULTS: A good interaction relations between inpatient pharmacy department and clinical department had built. The patients know more about the pharmacists and the workload of the doctors and nurses is reduced. It could also improve pharmacy service level and promote self-enhancement of the pharmacists. CONCLUSION: This service model is affirmed by both the medical staff and the patients, and provides more active pharmacy service for medical staff and patients. It could provide a new model for hospital pharmacy service.

Effects of Responsible Pharmacists on Irrational Medical Order Intervention in Pharmacy Intravenous Ad-mixture Service / 中国药房

OBJECTIVE:To probe the role of responsible pharmacist on irrational medical order intervention in Pharmacy Intra-venous Admixture Service (PIVAS),and to improve rational drug use in our hospital. METHODS:501 115 medical orders from PIVAS of our hospital during Jan.-Jun. 2012 were analyzed retrospectively. Irrational medical orders of 499 189 medical orders dur-ing Jul.-Dec. 2013 were classified and summarized after the establishment of responsible pharmacists system and pharmacist inter-vention. RESULTS:The number of irrational medical orders was 918(0.183 2%),and decreased to 448(0.089 7%)after interven-tion. Irrational medical orders of solvent selection reduced from 134(0.026 7%)to 69(0.013 8%);irrational medical orders of sol-vent volume reduced from 435(0.086 8%) to 206(0.041 3%);irrational medical orders of drug dosage reduced from 241(0.048 1%)to 117(0.023 4%);irrational medical orders of drug compatibility reduced from 51(0.010 2%)to 28(0.005 6%);irrational medical orders of dosing frequency reduced from 17(0.003 4%)to 2(0.000 4%). CONCLUSIONS:What responsible pharmacists intervened in the irrational doctor’s orders of intravenous drip was effective and feasible in PIVAS,improved rational drug use and guaranteed the safety of drug use.