我的药在哪里? 改善患者特异性药物储存,以帮助急诊室的住宿者
Journal of the American Pharmacists Association : JAPhA
|December 12, 2023
概括
一个质量改进项目显著减少了急诊室 (ED) 登机患者的药物检索时间66%. 这一举措简化了患者特定药物的获取,改善了等待住院治疗的患者的护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 紧急医疗手术紧急医疗手术
- 药房物流 药房物流 药房物流
背景情况:
- 增加急诊室 (ED) 登机时间导致非紧急药物递送的延迟.
- 目前的系统缺乏有效的方法来储存和获取登机患者的患者特异性药物.
研究的目的:
- 实施和评估一个质量改善项目,旨在减少ED登机患者的药物获取时间.
- 提高ED环境中的药物管理效率.
主要方法:
- 实施了一个集中式的自动化药柜 (ADC) 系统,用于患者特定的药物.
- 在ADC内建立专门的存储地点,用于预期的长期登机患者.
- 教育护理人员使用电子药物管理记录 (eMAR) 检索药物.
- 在干预之前和之后,测量了40名登机患者的药物获取时间.
主要成果:
- 减少了66%的药物获得时间,从基线平均37.7分钟减少到干预后12.9分钟.
- 取得了统计学上显著的改善 (P < 0.0001).
- 一年后持续改善.
结论:
- 一个多学科的,以团队为基础的质量改进计划有效地减少了ED登机患者的药物取回时间.
- 实施的系统改善了ED的药物获取和工作流程效率.
- 该项目展示了一种可持续的解决方案,用于为经历延长ED停留的患者管理药物.
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