Objective To investigate the effects of rhubarb and mirabilite and compound danshen injection on gastrointestinal dysmotility of severe acute pancreatitis (SAP). Methods Forty-one SAP patients were randomly divided into two groups: Integration group (n=21) were treated with rhubarb and mirabilite and compound danshen injection. Control group (n=20) were treated with conventional therapy. Recovery of gastrointestinal motility of two groups was observed, and the complication rate and hospital stay was recorded.Results The recovery of gastrointestinal motility, first defecation and hospital stay in integration group was (3.1±0.8)d, (3.1±0.8)d, (21.5±2.8 )d, which were significantly shorter than those in control group [(5.2±1.4) d, (4.7±1.3 ) d, (32.1±3.60) d, P ＜ 0. 05 or P ＜ 0.01. Five patients in integration group developed complication, which was significantly lower than 8 patients in control group ( P ＜ 0.01 )]. One patient died and one patient received operation in integration group, and one patient died in control group,without significant difference between the two groups (P ＞ 0.05 ). Conclusions The combination of rhubarb and mirabilite and compound danshen injection in severe acute pancreatitis can promote the recovery of gastrointestinal motility.

OBJECTIVE To provide reference for improving pharmacy service capabilities and management quality. METHODS By interviewing clinical department， the problems in the drug dispensing process of inpatient pharmacy in our hospital were collected； combined with the internal self-inspection results of the inpatient pharmacy， the fishbone diagram for the cause analysis of the existing problems were drawn. PDCA management method was used to summarize the main factors from five perspectives of personnel， machines， environment， methods and drugs， and improve the intervenable main factors； relevant data were collected and the optimization results were evaluated from two dimensions of work efficiency and service satisfaction. RESULTS The five processes of our hospital were optimized， such as dismounted oral drugs， temporary medical orders， narcotic and psychotropic drugs， long-term medical orders and drug withdrawal， and the function of prescription pre-review was newly added. Information functions such as “putting code for prescription”“ positioning by scanning code”“ reviewing by scanning code” “receiving by scanning code”“ issuing by scanning code”“ one-click dispensing” and “status visualization” had been added to the hospital information system using QR code technology， and long-term medical orders had been optimized from the previous dispensing by department to dispensing by drug category. Compared with before optimization， the printing time of dispensing lists， the time of long-term medical order dispensing， the time of drug withdrawal and the time of issuing anesthetic drug were shortened significantly； but the times of missed delivery or dispensing， the times of calling to inquire about drug dispensing by nurse were all decreased significantly； satisfaction rate of nurses and pharmacists increased by 26.32% and 37.50%， respectively. CONCLUSIONS Through process sorting and informational optimization， the inpatient pharmacy dispensing processes of our hospital are further refined and standardized， achieving the double improvement of service quality and efficiency.

OBJECTIVE To construct the quantitative evaluation system of regional clinical pharmacists’ professional ability， and provide reference for the evaluation of regional clinical pharmacists’ professional ability. METHODS Twenty-one experts from 18 hospitals in Chongqing were consulted to construct a professional ability index system for clinical pharmacists. TOPSIS model was used to calculate and obtain the expert authority index （EI）， and the weighted averaging method was used to construct the judgment matrix. Analytic hierarchy process （AHP） was used to calculate the weights of all indicators for establishing a quantitative evaluation system of regional clinical pharmacists’ professional ability according to the weights of each item. RESULTS The results of TOPSIS showed that the EI range was 0.010-0.100， and the relative authority of experts was distinguished and measured effectively. The results of AHP showed that the judgment matrix of the quantitative evaluation system met the requirements of consistency test （consistency test index CR＜0.1）. Finally， a quantitative evaluation system for regional clinical pharmacists’ professional ability was established， including 6 sub-objective items （basic ability， clinical practice ability， coordination and communication ability， publicity ability， scientific research and teaching ability， continuous improvement ability） and 25 index items （such as educational background， professional title， clinical pharmacy working years， daily theoretical skills assessment， information ability level， medication education， etc.）. CONCLUSIONS A quantitative evaluation system of regional clinical pharmacists’ professional ability has been established. Our study provides a theoretical reference for the quantitative evaluation and optimal management of regional clinical pharmacists.