临床药房监控技术的实施和药房实践模式的重新设计,跨越多州卫生系统
Elizabeth H Wiggins1, Joan Kramer2, L Hayley Burgess1,2
1Clinical Services Group, HCA Healthcare, Nashville, TN.
HCA healthcare journal of medicine
|July 10, 2023
概括
实施临床监测技术增强了药房服务,改善了患者安全和结果. 这项技术证明了医疗保健系统的显著运营效率和强的投资回报.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 提高质量 提高质量
背景情况:
- 以结果为导向的药房模型对于以患者为中心的护理至关重要.
- 临床监测技术和药房指标是衡量结果和投资回报的关键.
- 该项目旨在扩大药剂师的覆盖范围,提高患者安全,并通过运营效率提高改善临床结果.
研究的目的:
- 在医疗保健系统中实施临床监测技术.
- 开发临床药房指标用于结果测量.
- 评估这些干预措施对效率,患者安全和财务回报的影响.
主要方法:
- 一个临床药房监控工具在2013年进行了试点,并在2年内扩展到154家医院.
- 追踪的数据包括医院采用,药物治疗修改,药剂师干预时间,临床指标和6年投资回报.
- 该研究到2021年涵盖了177家医院,分析了2015年至2021年的数据.
主要成果:
- 医院监控技术的实施增加到177个地点.
- 药剂师药物治疗修改量增加了一倍以上,对警报的响应时间从13.9小时减少到2.6小时.
- 观察到万科米辛缓解 (12%) 和减少化诺用于尿路感染 (25%) 的显著改善,每年回报率为1:12.9.
结论:
- 使用临床监测技术重新设计的药房服务导致药剂师效率提高.
- 在新药房模式实施后,患者的治疗结果明显改善.
- 该研究强调了技术在优化药房实践和证明财务效益方面的价值.
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