Effect Evaluation Of Clinical Pharmacists Participating In "Medication Reconciliation" Service Of The Patients With AECOPD

Objective: To explore the service model of clinical pharmacists’ participation in medication reconciliation of patients with AECOPD.Clear the medical procedures that easy produce medication discrepancies,the main types and the main involving drugs of medication discrepancies.To evaluate the effect of medication reconciliation,discuss the necessity and feasibility of medication reconciliation and provide the basis for further promotion of medication reconciliation.Methods: The patients enrolled in the group were randomly divided into the experimental group and the control group.The control group was treated with traditional model of medical treatment.Based on the traditional medical treatment,adding medication reconciliation service to the experimental group.Count the ADR/ADE incidence,the score of CAT,the drug costs,the proportion of drug costs,the total cost of hospitalization,the hospitalization days and the satisfaction of the patients.Results: Compared with the control group,the patients in the experimental group during hospitalization with lower incidence of ADR/ADE(P<0.05),with lower drug costs(P<0.05),with lower proportion of drug costs(P<0.05),with lower total cost of hospitalization(P<0.05),with higher patient satisfaction(P<0.05);There was no significant difference of the score of CAT and the hospitalization days between the two groups(P>0.05).Conclusion: Medication reconciliation carried out to improve the drug safety of patients,improve the satisfaction of patients,reduce the drug costs,proportion of drug costs and the total cost of hospitalization of patients.It is necessary and feasible to further promote the Medication reconciliation.