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目的:比较临床药师与住院医师对最佳用药史采集的完整性。方法:纳入2015年5-11月期间入住某院神经内科的100名患者,分别由临床药师与住院医师对这100名患者进行用药史信息的采集,比较信息采集的完整性并评价其可能导致的潜在风险并分析原因。结果:临床药师在用药品种、药品剂型、用药依从性方面的信息采集的完整性优于住院医师,两组之间比较具有显著性差异(P<0.05),但在用法用量、过敏史及不良反应史方面的信息采集完整性方面,两组比较没有统计学差异(P>0.05),两组的最佳用药史采集均存在不完整性,都有可能导致患者潜在的不适或临床症状恶化的风险。结论:患者最佳用药史采集的完整可减少药物差异及潜在的用药风险,临床药师及住院医师在这方面均需加强,尽可能多地获取准确完整的用药信息。
Objectives: To compare the completeness of clinical pharmacists and residents in collecting the best medication history. METHODS: A total of 100 patients admitted to the neurology department of a hospital from May to November in 2015 were enrolled in this 100 patients by clinical pharmacists and residents, respectively. The integrity of information collection was compared and its possible result was analyzed Of the potential risks and analyze the reasons. Results: The clinical pharmacists' information collection was superior to residents in the aspects of medication variety, drug dosage form and drug compliance. There was significant difference between the two groups (P <0.05) There was no significant difference between the two groups (P> 0.05) in the collection of information on the history of the reaction, and there was incompleteness in the collection of the best medication history in both groups, which might lead to potential discomfort or worsening of clinical symptoms risk. Conclusion: The complete collection of patients' optimal medication history can reduce drug differences and potential risks of medication. Both clinical pharmacists and residents should strengthen their efforts to obtain accurate and complete medication information as much as possible.