Writing Model of Inpatient Medication Records / 中国药房

ABSTRACT

OBJECTIVE:To discuss an useful and convenient medication record writing mode to promote rational drug use.METHODS:Based on SOAP model,inpatient medication histories were established by combining medication data with clinical data collected from patients' clinical histories and pharmacists.RESULTS & CONCLUSIONS:The inpatient medication records that suited to the needs of clinical pharmaceutical care have been established and in which the clinical course of diseases and drug treatment course are recorded simply yet in detail,which can facilitate the evaluation on the safety,validity and rationality of medication.