紧急服务部门的医生花费多少时间来处理与药物相关的任务? 一个时间和运动研究研究
Tine Johnsgård1,2, Renate Elenjord3,4, Renata Vesela Holis3
1Hospital Pharmacy of North Norway Trust, Tromsø, Norway. tine.johnsgard@uit.no.
BMC emergency medicine
|April 9, 2024
概括
紧急病房医生将8.7%的时间用于药物治疗,每小时仅有2.2分钟用于药物调和. 这种有限的时间可能会影响患者的安全,强调需要专门的药剂师资源.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 与药物相关的问题是急诊室 (ED) 访问的重要原因,药物错误影响到60%的患者.
- 药物调和和审查对于预防这些问题至关重要,但需要大量的时间.
- 在没有药剂师的ED中,医生除了照顾病人外,还负责药物调和.
研究的目的:
- 量化急诊室 (ED) 医生在没有现场药剂师的情况下为药物相关任务所花费的时间.
主要方法:
- 一项观察时间和运动研究使用了通过活动时间 (WOMBAT) 的工作观察方法工具.
- 在3个挪威北部的ED中,在3个ED中收集了386个小时的数据,在225个观察会议中收集了数据.
- 观察发生在2020年11月至2021年10月的上午8点至晚上8点之间的平日.
主要成果:
- 医生将8.7%的工作时间用于与药物相关的任务.
- 与医生的口头沟通 (3.0%) 和药物记录 (3.2%) 消耗了最多的时间.
- 药物调和任务,包括信息检索和文档,占每小时2.2分钟.
结论:
- 挪威急救室的医生将8.7%的时间用于药物治疗,85.6%用于其他任务.
- 药物调和的时间有限 (2.2分钟/小时),引发了对患者安全的担忧.
- 将药剂师纳入ED工作流程可以减轻医生的负担,提高患者的护理和安全.
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