探讨医院药房专业人员对放药药品审查转介的实施情况:使用实施研究综合框架进行定性研究
Robert James1, Karen Hodson1, Efi Mantzourani2
1School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, Wales, UK.
Research in social & administrative pharmacy : RSAP
|August 27, 2023
概括
由于缺乏意识和流程,医院药房工作人员对出院药物审查 (DMR) 服务的参与度较低. 改善这一点需要培训,反和冠军,以提高患者退院后的安全性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 实施科学 实施科学
背景情况:
- 退院药物审查 (DMR) 是威尔士社区药房服务,旨在在护理过渡期间减轻与药物相关的伤害.
- 尽管已经证明了患者安全的好处,但DMR的采用却不一致,部分原因是医院的信息传输不足.
研究的目的:
- 探讨医院药房专业人员关于出院药物审查 (DMR) 服务的观点.
- 制定可行的建议,以加强医院对DMR转诊的参与.
主要方法:
- 在16家威尔士医院中,有61名药剂师和31名药房技术人员参加了质量重点小组.
- 使用实施研究综合框架 (CFIR) 进行释现象学和框架分析来分析低于最佳的参与度.
主要成果:
- 在医院药房工作人员中发现,对DMR转诊的认识和建立的流程显著缺乏.
- 职业角色的感知差异和缺乏明确的转介途径是参与的主要障碍.
- 参与者建议当地冠军,员工培训和反机制,以改善DMR推整合.
结论:
- 调查结果强调了医院与DMR服务的关键障碍,包括知识差距和流程缺陷.
- 建议侧重于改善医院药房工作人员的认识,培训和DMR转诊的整合.
- 该研究为决策者提供了洞察力,以加强类似的社区药房服务,例如英格兰的释放药物服务.
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