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1、Investigation and analysis on current situation of pharmaceutical service in hospital Summary Objective: hospital set up to "patient-centred" service concept, based on basic principles of rational drug use. Clinical rational use of medicines the necessity, safety, efficiency, economy and n
2、ormative. Methods: through their own questionnaires using random questionnaire survey, this time mainly to patients, the public, health care workers were investigated. Investigation and implementation of pharmaceutical care in the outpatient dispensary patients with cognitive and satisfaction. Throu
3、gh survey-related information to organize and analyze the problems in current situation of pharmaceutical service improvement plan. Outcome : consolidation of findings and analysis of current situation of pharmaceutical service there are imperfections make improvement, pharmacy services can be smoot
4、hly implemented in practice. Conclusion : medical development as a clinical pharmacist continuously learn professional knowledge and expertise is the development of clinical pharmacy. Should have in mind the noble medical morality and ethical behavior and good human quality is the basic quality of p
5、harmacists. Key words Pharmacy services ; Investigation and analysis of improving measuresObjective : Hospital established a "patient-centered" service concept, with the basic principles of rational drug use. Improve the clinical necessity of rational use of medicines, safety, effici
6、ency, economy, normative. Methods: The questionnaire set up their own random survey questionnaire investigation, this time mainly to patients, the public, health care workers for the survey. Investigation patient awareness and satisfaction with outpatient pharmacy pharmaceutical care implementation.
7、 Through the survey was to collate and analyze information related to the presence of pharmaceutical care issues to establish the status quo improvement plans. Results: The results of the survey and analyzed for the presence organize Situation Pharmaceutical Services imperfections develop improvemen
8、t measures to make the smooth development of pharmacy services can be implemented in practical work. Conclusion: The current rapid development of medical care, as a clinical pharmacist adhere to continuous learning professional knowledge and professional skills development needs of clinical pharmacy
9、. In terms of ideology should have a noble character and good human medicine quality and ethical behavior.Refers to pharmaceutical care and pharmacy workers apply what learn pharmacy skills and knowledge to serve the needs of patients and the public provision of services related to drug use. As a cl
10、inical pharmacist must firmly establish the "patient-centric" service concept, treat patients like family, improving the role of clinical pharmacists in pharmaceutical care; hospital service quality and efficiency of services, so that more patients during hospitalization benefits. Promotio
11、n can play an important role in the clinical practice of pharmaceutical care, pharmacy services can be carried out in the hospital. In clinical pharmacy services, mainly as a clinical pharmacist in the following tasks: participating in ward rounds, drug education, drug prescription dispensing, recip
12、e reviews, advice, adverse drug reaction monitoring and reporting, clinical therapy, adverse drug reaction reporting. Participation in the round is an effective mode of pharmaceutical care, first wards for clinical pharmacists to be able to learn more about the patient's condition changes appear
13、s after the proper adjustment of drugs patients use the drug adverse events and second wards for clinical pharmacists in order to be able to do more for drug education. For special groups of proper drug use, review prescriptions with whether there is incompatibility. As pharmacists have extensive kn
14、owledge are basic requirements; noble medical ethics Act is the responsibility of each clinical pharmacist must comply with.Based on survey research, explain the purpose of pharmaceutical service in hospital pharmacy services. Analysis of current situation of pharmaceutical service in hospital, sugg
15、estions for improvement measures.Refers to pharmaceutical care and pharmacy workers apply what learn pharmacy skills and knowledge to serve the needs of patients and the public provision of services related to drug use. As a clinical pharmacist must firmly establish the "patient-centric" s
16、ervice concept, treat patients like family, improving the role of clinical pharmacists in pharmaceutical care; hospital service quality and efficiency of services, so that more patients during hospitalization benefits. Promotion can play an important role in the clinical practice of pharmaceutical c
17、are, pharmacy services can be carried out in the hospital. In clinical pharmacy services, mainly as a clinical pharmacist in the following tasks: participating in ward rounds, drug education, drug prescription dispensing, recipe reviews, advice, adverse drug reaction monitoring and reporting, clinic
18、al therapy, adverse drug reaction reporting. Participation in the round is an effective mode of pharmaceutical care, first wards for clinical pharmacists to be able to learn more about the patient's condition changes appears after the proper adjustment of drugs patients use the drug adverse even
19、ts and second wards for clinical pharmacists in order to be able to do more for drug education. For special groups of proper drug use, review prescriptions with whether there is incompatibility. As pharmacists have extensive knowledge are basic requirements; noble medical ethics Act is the responsib
20、ility of each clinical pharmacist must comply with. Based on survey research, explain the purpose of pharmaceutical service in hospital pharmacy services.Analysis of current situation of pharmaceutical service in hospital, suggestions for improvement measures. A source 1.1 InformationThis infor
21、mation primarily through their set investigation file investigation of pharmaceutical care in a hospital patients, medical personnel and public satisfaction with hospital pharmacy services, implementation of surveys patients the hospital pharmacy service reliability and satisfaction. Pharmacy servic
22、es to meet patient satisfaction carried out by really help patients resolve medication problems such as difficult.1.1 information sources information this information is through their own set investigation file investigation of pharmaceutical care in a hospital patients, medical personnel and public
23、 satisfaction with hospital pharmacy services, implementation of surveys patients the hospital pharmacy service reliability and satisfaction. Pharmacy services to meet patient satisfaction carried out by really help patients resolve medication problems such as difficult.1.2 This survey used random s
24、urvey, respondents with patients, health care workers and the public. Survey patient satisfaction, in check by patient feedback receive information summarized in improvement in implementation of pharmaceutical care, according to the nature of hospital set that meet the standard of hospital services
25、to public patients certified pharmacy service in order to provide high quality pharmaceutical care for patients, the public. Together, these efforts have come from health care personnel unremitting efforts, work together to assume this responsibility in the service of learning to improve patient ser
26、vice levels and quality of service. The survey distributed 300 questionnaires, major health care workers, patients and the public, which were made by medical personnel were 150 patients made a 100 , the community made a 50 . 1.3 Results Final valid questionnaires received for 245 as a part of this s
27、urvey, with 15 due to incomplete filling out content deemed to be qualifying questionnaire, Valid questionnaires for 230 , Ultimate recovery of 77%. Question answer percentage (100%)When you come to the hospital, do you know what is a pharmacy services know 80(36%) do not know 120(
28、52%) never knew 30(13%)Do you know the meaning of pharmaceutical care what know 45 (19%) Don't know 130 (56%) never knew 55(23% )As a patient of you, when using drugs, do you think there is no need to provide pharmaceutical care need 95(41%) don't have 75 (32%) In accordance with the instruc
29、tions to use 60 (26%)When you use a variety of drugs if you want to be able to get help from pharmaceutical care hope 100 (43%) Do not want 82(35%) in accordance with the instructions to use 48 (20%)When you are in consultation with the drug and pharmacists on your attitude whether you satisfied wit
30、h 109 (47%) Not satisfied with 85 (36%) Not satisfied with 36 (15%)Your evaluation of the hospital pharmacy service is satisfied with 85 (36%) Not satisfied with 94 (40%) 51 (22%)Do you believe pharmacists ' services trusted 135 (58%) Have questions about 90 (39%) Salt 5 (2)In your opinion, whic
31、h of the following service mode is the most acceptable note 125 (54%) Oral account of 95 (41%) 10 (4)At present, the hospital pharmacy service can keep you satisfied satisfied 19(8%) not satisfied with 162(70%) 49(21%) 1.4 Pharmacy services questionnaire and questions such as the following tabl
32、e 1.5 AnalysisAccording to the survey results and know, 52% The concept of pharmaceutical care of patients who do not know, never know what are the percentages of pharmaceutical care of patients 13% 。 From this data, we know that there is a situation like this there are two main fa
33、ctors a patient drug information do not understand, and second, there are pharmacists in their spare time education publicity for pharmacy-related services, and corresponding locations in the hospital as an outpatient pharmacy pharmacist build information publicity associated with drug use. Improve
34、the safety of patients using the drug. According to the survey data show that, 52% The concept of pharmaceutical care of patients who do not know, what is the proportion of pharmaceutical care of patients 13% 。 From this data, we know that there is currently a situation like this there are two main
35、factors a patient for pharmacy-related information is not knowledge. Second, the propaganda is not enough clinical pharmacists, not in the hospital drug information publication section. Clinical pharmacists did not truly patient-centric service philosophy. Cause patients do not want to learn more ab
36、out the functions of clinical pharmacists, only for the sake of patients as a clinical pharmacist, improve service to patients, in consultation with the drug in patients with only being able to communicate to open up. Survey data also show only 43% needs in the use of various drugs in patients with
37、hope to get correct clinical pharmacists direct drug usage. 36% patients dissatisfied with the attitude of clinical pharmacist, 70% patients were not satisfied with our current pharmaceutical services, satisfaction only 8%; we as pharmacists have to care, 39% Patients who have questions about pharma
38、cists guidance. 1.6 Survey results From the survey data is visible in our hospital pharmacy service implementation is not perfect, pharmacists cannot improve the quality of service. Work in pharmaceutical care, clinical pharmacists in pharmaceutical care should be every week through the Organization
39、 of seminars of professional and service learning, and clinical pharmacists to improve service levels, improved expertise in promoting rational drug use in clinical pharmacy , can reduce the incidence of adverse drug reactions. These require hospitals, patients, pharmacists among close contacts in o
40、rder to improve the quality of pharmacy services and service levels. B purpose and basic requirements of pharmaceutical service in hospital2.1 Pharmaceutical service in hospital To proper use of drugs-related mainly to improve patient service, improve patient safety, effective and rational use of me
41、dicines and to correctly understand the pros and cons of drug; direct drug usage should instruct patients on time, by volume, according to the course of treatment using drugs; patients soon Kang, shorten patient hospital stays , Reducing the waste of medical resources. 2.2 Basic requirements As a cl
42、inical pharmacist should have solid professional knowledge and professional skills, solid is the embodiment of knowledge has an important impact on patients ' quality of service reflects the importance of clinical pharmacists in pharmaceutical care. Clinical pharmacists to give patients proper a
43、nd rational use of drugs. Must master in pharmacology, pathology, pharmacy, human physiology science based expertise. Also need to master the various characteristics and mechanism of drug action, clinical pharmacist will be able to correct and rational guide patients, highlighting the importance of
44、clinical pharmacists in pharmaceutical care . Three problems in pharmacy services3.1 Hospital Mainly in the outpatient pharmacy in hospitals and hospital medicine made by the two main window, a pharmacy under the influence of traditional ideas of the concept, "heavy light medicine" phenome
45、non. Outpatient Pharmacy and pharmacy sections in hospitals as a whole throughout the hospital drug running. Two pharmacies in hospitals has been using the drug for the purpose of medication the way the illness is surrounded by large, hospitals pursue high profits, low efficacy. Staff's job is t
46、o follow the prescription drug and pharmacy does not offer patients to drug use-related services, and consulting through medication consultation Windows to communicate with pharmacists, hospital pharmacies limited Advisory window small, queue Advisory administration staff, lead to restrictions on ti
47、me clinical pharmacist communication with patients. In spite of the establishment of independent drug advisory service, but also from a practical sense, is not able to meet the needs of patients, unable to achieve patient satisfaction; solve the drug problem. So that can lead only to relations betwe
48、en doctors and patients in distant, cold, rigid, leading pharmaceutical services is difficult to improve. As hospitals should strengthen publicity of drugs through education in a lecture related to drug use; hospital LED electronic displays for mission to improve patient can master the basic methods
49、 of drug use. 3.2 Pharmacist For outpatient Pharmacy and pharmacy staff, in both Pharmacy staff have many years of clinical experience and training, staff in pharmacies for too long causes; the thought formed the drug issue as the center of work patterns throughout the pharmacy only arranged in a cl
50、inical pharmacist. Due to the small number of clinical pharmacists, a Department cannot schedule multiple clinical pharmacist, coupled with the ability of each pharmacist, limited operational capacity at work without learning opportunities for continuing education in your spare time. As a clinical p
51、harmacist to continue to learn new knowledge and skills is responsible for hospital patients manifesting; clinical pharmacists are truly real every day to visit patients in the wards; angle from the hospital wards for clinical pharmacists in hospitals should arrange for specific time and number of r
52、ounds every week, whether strictly written medication on time; arrangements common progress of clinical pharmacists took turns lecturing each other. As a clinical pharmacist in the humanities, professional knowledge and expertise deficiencies cannot meet the needs of modern medical developments, is
53、not able to provide patients with high quality pharmaceutical care. As a clinical pharmacist with a strong operational capacity and profound knowledge of clinical pharmacists must possess the basic criteria. Through part-time work time learning theory; in practice to learn service skills. Clinical P
54、harmacist just keep learning to be able to require service providers to provide high quality pharmaceutical care. 3.3 Patient factors Patients come to the hospital's objective is to be able to get hospital services and good treatment. In endocrine Department of our hospital often occur; the majo
55、rity of patients from the hospital pharmacy to buy drugs brought into the hospital. Patients due to the following factors: first, the price is much higher than in the hospital pharmacy prices; the other is in the pharmacy to buy medicine easy, fast and does not require a doctor's prescription to
56、 buy the drug, reducing patient wait times. In advisory drug usage dosage and the note matters Shi patients most hope of is doctor can has patience to to answers patients of asked, patients on drug knowledge lacks, on drug information no accurate of judge capacity, in no timely buy to drug Shi patie
57、nts more willing to believes medical supporting, so patients will put hope hopes Yu others, no right of guide medication, patients on drug of using dose no strictly provides requirements, long-term big dose using drug on liver kidney function produced serious of damage role. Patients believe physici
58、ans in the hospital function and ignore the pharmacist functions throughout the hospital physicians and pharmacists are very important, as patients should be balanced mindset, patients think all pharmacists in the pharmacy's duty is to follow the doctor's prescription drugs, have no right to
59、 guide drug use. Patients believe that prescription is prescribed by a doctor; drug use should be guided by a physician; in fact, patients often have this kind of idea is errors, functions as a patient should understand pharmacists. Outpatient pharmacy medication guide service designed to help guide
60、 medication in patients with; the second is to help doctors make medication decisions, review prescriptions whether there is incompatibility and medication errors are not playing its full role of the disease. Because patients caused by too much confidence in patients with physicians and ignore the role of clinical pharmacists, weakened the role of clinical pharmacis
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