[急诊室专业药剂师对紧急医学的影响]
1Department of Pharmacy, Sapporo Higashi Tokushukai Hospital.
概括
在日本,急诊室 (ER) 的药剂师服务并不普遍. 实施专门的急诊室药剂师 (ESP) 可以减少医生的工作负担并改善患者护理,国际上观察到的经济效益显著.
科学领域:
- 药房实践 在药房实践中
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 在全国范围内,急诊室 (ER) 的药剂师服务并未得到广泛实施.
- 缺乏补偿和操作指南有助于限制ER药剂师角色.
- 重症监护室是认证急诊药剂师最常见的领域.
研究的目的:
- 突出专业急诊室药剂师 (ESP) 的好处和潜力.
- 讨论ESP对医生工作量,诊断和患者结果的影响.
- 倡导ESP在日本的扩展.
主要方法:
- 对国内和国际ESP服务的现有文献和报告的审查.
- 自2016年以来,札高山东库舒凯医院实施ESP的案例研究.
- 分析报告的好处,包括减少医生工作量和提高诊断准确度.
主要成果:
- 札高山东口医院的ESP将急诊医生的工作量减少了1.9小时/天.
- ESP有助于准确诊断药物诱导疾病和治疗传染病.
- 国际报告显示,ESP为医疗保健带来了显著的经济效益,每年成本避免超过4亿日元.
结论:
- 在提高ER效率,患者安全和医疗保健经济方面,ESP具有显著的价值.
- 国际证据支持ESP对操作指南和患者结果的积极影响.
- 强烈需要加强日本的ESP的实施,报销评估和运营指导方针的制定.
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