社團法人臺灣臨床藥學會

已出刊文章

【原著】外傷加護病房內執行藥事照顧之價值
The Value of Implementing Pharmaceutical Care in a Trauma Intensive Care Unit
加護病房、藥事照顧、開方疏失、藥費節省、 ICU, Pharmaceutical care, prescribing error, drug cost saving
陳一伶I-Ling Chen 、王郁青Yu-Chin Lily Wang 、李炳鈺Ping-Yu Lee
1高雄長庚紀念醫院 藥劑科
本篇文章主要藉由臨床藥師參與外傷科加護病房的醫療照護,執行直接照顧病患的工作。在為期6個月時間裡,共提出378件介入活動,醫師對藥師介入活動的接受度為90.7%(343件)。藥師所提供之介入活動內容,可區分為八大項目,其中以「建議改變藥物治療的內容」的比率居高,佔46.9%(161件)。已被接受的介入活動中有246筆(71.7%)處方歸屬於開方疏失,並以「不當的劑量」居多,佔49.6%。探討開方疏失對於藥物費用的影響,發現可節省的藥物費用支出為47,174元;這些開方疏失的異常處方依藥物目的類別區分,以抗感染方面藥物居多,佔50%(節省的支出高達39,891元)。由此可知,藥師從事藥事照顧的工作,確實可以降低藥物費用的支出,並讓臨床藥學的推動更具意義。

The value of pharmacist providing pharmaceutical care in a trauma intensive care unit is described.  During a period of 6 months, the clinical pharmacist provided 378 interventions.  Overall, "modifying the drug therapy" accounts for 46.9% of the services provided.  More than 90% of recommendations made by the pharmacist were accepted; 71.7% were related to physician prescribing errors.  Among those prescribing errors, 49.6% were classified as "inappropriate dose".  Estimated drug cost saving by providing interventions to those prescribing errors was NT$ 47,174.  Fifty percent of the errors resulted from the inappropriate use of antimicrobial agents with a cost savings of up to NT$ 39,891 upon correction.  The investigators have demonstrated and conclude that pharmaceutical care can significantly reduce the cost of medications by correction of prescribing errors.

 
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