PHÂN TÍCH HIỆU QUẢ CAN THIỆP CỦA DƯỢC SĨ LÂM SÀNG TRÊN MỘT SỐ VẤN ĐỀ LIÊN QUAN ĐẾN THUỐC KÊ ĐƠN NGOẠI TRÚ TẠI KHOA KHÁM BỆNH - BỆNH VIỆN QUÂN Y 105 NĂM 2022

Abstract

Objectives: To analyze the intervention effectiveness of clinical pharmacists on several drug-related problems (DRPs) in outpatient prescription at the Department of Medical Examination, Military Hospital 105 in 2022. Methods: A retrospective, cross-sectional descriptive and comparative on 786 prescriptions during the period without clinical pharmacist intervention (from 1^st to 31^st November 2021) and 256 prescriptions during the period with clinical pharmacist intervention (from 16^th to 30^th January 2022) was conducted at 3 General Internal Medicine clinics of the Medical Examination Department. The intervention effectiveness was evaluated by comparing the DRPs rate of outpatient prescriptions between the two periods in which doctors agreed with the intervention content. Results: The number of prescriptions without DRPs increased from 9.1% - 53.1% before and after the intervention. The ratio of the number of DRPs to the total number of prescriptions decreased from 1.62 - 0.58, a statistically significant difference with p < 0.001. Outpatient DRPs appeared on 23 drugs, corresponding to 46 drug-DRPs code pairs. The doctor’s consensus rate with DRPs was more than 95%. The significance of DRPs was assessed by doctors according to the classification scale at level 3 (not significant) with over 88%. Conclusion: Clinical pharmacist intervention reduced the number of outpatient prescriptions with DRPs, and doctors show a high level of agreement with the intervention content.