临床药房监督对药房服务的影响:质量改进项目
Joan S Kramer, Cynthia Borum1, Evan L Claxon
1HCA Healthcare, Nashville, Tennessee.
概括
实施药房指导的警报优先级类别显著减少了药剂师对临床监测警报的干预时间. 这种优化提高了工作流程的效率,并增加了从静脉注射到口服转换的成本节约.
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:
- 临床药房监控软件对于优化药物管理至关重要.
- 警觉疲劳和低效的工作流可以阻碍药剂师的响应时间.
- 确定警报的优先级对于及时有效的干预至关重要.
研究的目的:
- 评估药房指向警报优先级类别对药剂师干预时间的影响.
- 评估药剂师生产率的变化和实施后的成本节约.
- 分析优化警报系统的财务效益.
主要方法:
- 对169家医院的临床监测警报数据进行了回顾性前后分析.
- 临床药剂师工作流程在预警优先级之前和之后的映射.
- 计算预警干预的平均时间和因IV转换为口服和脏剂量调整而节省的成本.
主要成果:
- 高优先级的干预时间减少了32.6分钟,常规警报时间减少了65.1分钟.
- 药房导向的警报减少了38.7分钟的干预时间.
- 增加了173,700美元的成本节约,从静脉到口服的转换和1,076,700美元的脏剂量调整.
结论:
- 优化临床监测软件警报可以提高药剂师的生产力和工作流程效率.
- 一个专门针对药店的警报类别可以提高IV-to-oral转换成本的节省.
- 需要进一步的研究来验证脏剂量成本的节省和急性损伤预防的财务影响.
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