建立住院病患之中藥藥事照護模式計畫

蔡輝彥
台中中國醫藥大學附設醫院
住院病患的臨床藥物治療是具有綜合性與複雜性，須要包括臨床藥師在內的專業人員共同參與。藥師應從單純藥品調劑工作模式，轉向參與由醫師主導的臨床治療團隊，在促進合理用藥做出專業貢獻。透過實踐本計畫設立中醫住院病患之中藥藥事照護模式，盼未來能重視中藥臨床藥學之發展，儘早建立中藥臨床藥師制度，培養專業中藥臨床藥師從事住院病患臨床藥事照護，以期發揮藥師在臨床服務的功能。
本計畫擬以中醫住院病患或西醫會診中醫住院病患提供中藥專業藥事照護。以病人為中心的「制度化與規格化的給藥服務」、「提供藥品資訊」、「個人化藥物諮詢服務」、與「提升病患用藥安全」四種層面建立安全而完整的中醫臨床藥事照護制度。計畫中以多項資訊系統的架設及專業資料的建立，提供病患對中藥有更深的瞭解；規格化的藥袋標示與藥品資訊加強病患服藥的順從性；中西藥交互作用警示系統的建立與臨床藥師對病患的用藥評估更提供用藥的安全環境。在這四種深層次的中醫住院病患醫療照護計畫下，照顧的品質得以提升，病患的用藥安全亦獲得保障。
關鍵字：中藥臨床藥事照護；中藥臨床藥學；制度建立；住院病患
關鍵字：

The Establishment of the Chinese Medicine Pharmaceutical Care Mode for inpatient

Huei-Yann Tsai
Taichung China Medical University Hospitol
For the variability and complicity of clinical pharmaceutical care, the involving of clinical pharmacist is an ongoing trend for professional patient care. The earlier impression of dispensing-only for pharmacist is no longer fit the moving trend of the team-care reality. 
This is a pilot study to initiate the Chinese pharmaceutical care system in a university medical center hospital. Four dimensions of pharmaceutical care high light in this study, e.g., standardized Chinese medication-providing service, integrated medication information service, quality assurance on medications, and safety environment of pharmaceutical care. The implementations included evidence-based medication preservation, proper extraction, integration of multiple database, standardized medication labeling, intensive medication information, and Chinese drug-drug interaction database application. We expected these four dimension implementations provided in our program could promote the patient care quality and also provide a safety medication environment.
關鍵字：Chinese medicine pharmaceutical care；clinical pharmacy on Chinese medication；pilot study；inpatient care