药房转换护理计划对药房影响的评估
Heather Dalton1, Molly T Hinely2, Emily M Kostelic2
1Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA.
概括
药剂师领导的护理转型显著减少了住院治疗的50%,急诊室的访问减少了65%. 该计划有望改善患者的治疗结果,并可能降低医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 患者护理管理的管理.
背景情况:
- 由药剂师领导的护理干预措施可以改善患者的治疗结果.
- 关于药房转换护理服务对住院和急诊室访问率的影响的先前研究仍然没有结论.
- 这项研究解决了关于此类计划有效性的更明确证据的需求.
研究的目的:
- 评估药剂师驱动的护理转型计划对住院和急诊室访问率的影响.
- 在一个学术医疗中心评估过渡性住院患者圆周体验 (TIRE) 计划的有效性.
- 提供证据证明将药剂师纳入护理过渡的好处.
主要方法:
- 追溯观察队列研究与干预前后分析.
- 数据收集在药剂师干预前30天和干预后30天.
- 包括参加TIRE计划的患者;不包括18岁以下,住院,退院接受长期护理或没有最近住院的患者.
主要成果:
- 由于TIRE的干预,30天住院的病例减少了50% (31人与62人相比;P<0.001).
- 观察到90天住院时间 (24%减少;P = 0.028) 和30天急诊室访问时间 (65%减少;P = 0.006) 的显著减少.
- 90天的急诊室访问减少了36% (P = 0.240).
结论:
- 药房转换护理计划可以有效地降低住院和急诊室访问率.
- "TIRE计划对关键医疗保健利用指标产生了显著的积极影响.
- 与药房转换护理计划相关的潜在成本节约需要进一步调查.
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