Objective: To standardize the behavior of clinical medication and realize the full coverage of pediatric pharmaceutical care. Methods: Medical orders of pediatrics in Jiading Central Hospital

Shanghai University of Medicine & Health Sciences from Jun. 2018 to Jun. 2019 were collected by using the hospital information system. Full-sample medical orders were reviewed based on the Hospital Prescription Review Management Standards (Trial). Pareto diagram was used to analyze the influencing factors of irrational medical orders

and Delphi method was used to formulate corresponding pediatric pharmaceutical care regimen. Results: Among the 67

842 pediatric medical orders

the irrational rate was 5.03%

and the main factors were inappropriate usage and dosage

improper indications

prescriptions without clinical diagnosis or incomplete clinical diagnosis. Eventually

the pharmaceutical care regimen with “organizational structure-service process-service result” as the main dimension was developed. Conclusion: Pediatric pharmaceutical care program is the basis for realizing full coverage of pediatric pharmaceutical care

and its formulation includes many factors such as personnel coordination

project optimization

quality control and management. Only with active service consciousness can the clinical pharmacists serve children better.