为药物遗传学临床支持生成异步咨询报告:时间和运动
David R Bright1, Donald Klepser2, Anna Langerveld3
1Ferris State University, College of Pharmacy, USA.
Research in social & administrative pharmacy : RSAP
|March 17, 2024
概括
药剂师可以提供有价值的异步书面药物基因组 (PGx) 咨询,以帮助临床医生. 开发这些PGx报告需要不到30分钟,用于1-2种药物,但对于更复杂的病例需要更长时间.
科学领域:
- 临床药房 临床药房
- 药物基因组学 药物基因组学
- 医疗信息学 医疗信息学
背景情况:
- 药基因组测试 (PGx) 在临床环境中越来越多地被采用.
- 临床医生通常需要在应用PGx数据到患者药物清单中的支持,因为知识缺口.
- 异步书面咨询为药剂师提供PGx支持提供了一个潜在的有效方法.
研究的目的:
- 建立关于生成异步书面PGx咨询报告的最佳工作流程的共识.
- 为了确定药剂师生产这些咨询所需的时间.
- 为药剂师培训,实践管理和对PGx咨询服务的期望设置提供信息.
主要方法:
- 四名药剂师在三轮审查中为18例患者病例编制了书面PGx咨询报告.
- 在每一轮会议之前,通过讨论,就工作流程,流程和资源达成共识.
- 在第三轮中记录了每个过程步骤所花费的时间.
主要成果:
- 药剂师们就异步书面PGx咨询生成的最佳工作流程达成共识.
- 用1-2种PGx导向药物的病例报告通常需要不到30分钟.
- 需要为更多药物提供指导的病例需要两倍多的时间.
结论:
- 建立了一个针对异步书面PGx查询的优化工作流.
- 对于PGx咨询的时间投资取决于PGx指导药物的数量.
- 结果可以指导药剂师培训和PGx服务实践模型的开发.
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