摘要
目的:探讨建立规范、实用的住院药历格式。方法:介绍我院临床药师在参与临床查房工作中探索建立的住院患者规范化药历,该药历分4部分,即药历首记录、各项相关检查记录、药程录、出院小结。结果与结论:规范化药历的建立不仅可加强临床合理用药,同时也是临床药师进行规范化药学服务的具体体现。
OBJECTIVE： To discuss the establishment of standard and practical inpatient medication history. METHODS： The standard inpatient medication history in our hospital which has been established by clinical pharmacists during ward rounds participation consists of four parts： first page of medication history, relevant medical checklng-up records, therapeutic drug records and discharge summary . RESULTS ＆ CONCLUSION： The standard medication history has contributed to the rational use of drugs, meanwhile, it is a concrete manifestatation of standard pharmaceutical care provided by clinical pharmacists.
出处
《中国药房》
CAS
CSCD
北大核心
2008年第26期2074-2076,共3页
China Pharmacy
关键词
临床药师
住院患者
规范化
药历
Clinical pharmacist
Inpatients
Standard
Medication history
