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通过药剂师改善住院病人的出院工作流程等待出院药物订单
Kasheng Lee1, Grace Nixon2, Kristin Niemi1
1Department of Pharmacy, University of Wisconsin Health, Madison, WI, USA.
概括
一个新的药剂师主导的出院过程,涉及待处理的药物订单,显著减少了52.4%的药物相关问题. 这种增强的工作流改善了医院出院效率和患者安全.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 医院出院是危急护理过渡期,容易出现与药物相关的问题 (MRPs).
- 药物调和是缓解MRP的一个关键策略.
- 当前的工作流程往往涉及低效,重复的药剂师干预.
研究的目的:
- 评估一项潜在的药剂师领导的试点计划,用于释放药物订单 (待办订单).
- 确定该计划对MRP和排放处理时间的影响.
主要方法:
- 一项前性试点研究,将药剂师领导的工作流程与待办订单与标准出院工作流程进行比较.
- 在三个月内从两个医院医疗服务部门收集的数据.
- 测量了临床干预和从订单进入到最终调和的时间.
主要成果:
- 试点组显示,药剂师临床干预后供应商订单显著下降52.4% (P = 0.03).
- 观察到,最终与药剂师和解的时间减少了47.6%,但不显著.
- 药剂师主导的方法提高了整体释放效率.
结论:
- 药剂师主导的出院药物的调和与待办订单提高了效率.
- 调查结果支持药剂师在释放过程中发挥更大的作用.
- 强调需要强有力的药剂师-提供商合作.
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