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通过社区药房在医院出院时提供药物供应:质量改善研究
Lesley-Anne Tait1, Nicholas Cassidy2, Derek Jamieson3,4
1Pharmacy Department, Glasgow Royal Infirmary, Castle St, Glasgow, G4 0SF, Scotland. LesleyAnne.Tait@ggc.scot.nhs.uk.
International journal of clinical pharmacy
|September 28, 2023
概括
利用社区药房在出院时分发药物,大大减少了患者的延误. 这种新型号每位患者平均节省了142分钟,改善了医院的流量.
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.
- 优化患者流量优化
背景情况:
- 医院出院延迟导致每年在苏格兰超过50万个多余的床位日.
- 发放放药物的低效率是导致这些延迟的关键因素.
研究的目的:
- 与传统的医院药房服务相比,评估使用社区药房发放放药物的时间效率.
- 确定社区药房供应模式是否可以减少患者在出院的延迟.
主要方法:
- 在苏格兰格拉斯哥皇家医院实施了一项试点计划,涉及社区药房工作人员.
- 根据现有的流行病立法,社区药房可以通过电子方式访问立即释放信 (IDL) 并分发药物.
- 该研究利用了2020年6月至11月期间的三个计划-做-研究-行动 (PDSA) 周期,将新模型与标准医院药房流程进行比较.
主要成果:
- 社区药房模式为335名患者提供服务,而标准医院模式有资格为376名患者提供服务.
- 从IDL创建到药物完成的中位时间在社区药房模型 (154分钟) 与医院药房模型 (296分钟) 相比,在社区药房模型 (154分钟) 中明显较短 (p < 0.0001).
结论:
- 与标准医院模型相比,实施社区药房供应模式的出院药物可为每名患者节省142分钟的时间.
- 这种时间效率有潜力改变患者流动,减少住院时间,并允许医院药房团队专注于临床干预.
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