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评估安大略省医院药剂师的临床实践范围
Sarah Tessier1, Victor Tsang2, Spencer Martin3
1, BSc, PharmD, ACPR, RPh, is with The Ottawa Hospital, Ottawa, Ontario.
The Canadian journal of hospital pharmacy
|April 11, 2024
概括
安大略省的医院药剂师正在扩大他们的临床角色,治疗药物监测是最常见的活动. 然而,他们的实践范围在各机构之间存在显著的变化,这影响了患者的护理.
科学领域:
- 药房实践 在药房实践.
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
背景情况:
- 扩大医院药剂师的活动与减少不良事件和再入院有关.
- 安大略省的省立法在医院药剂师的临床实践范围中产生了广泛的差异.
- 关于安大略省各地医院药剂师开展的具体扩展临床活动的数据有限.
研究的目的:
- 描述在安大略省从事扩展临床活动的医院药剂师的实践范围.
- 确定与实施这些扩展活动相关的好处,局限性,促进因素和障碍.
主要方法:
- 在安大略省公立医院 (A组和B组) 的药房领导层分发了一项调查.
- 该调查包括包括数量和质量问题,涵盖药物订单的调整,停药,更新,处方权力和药物监测.
- 从56家受邀医院中收集了45家医院的回复.
主要成果:
- 独立的治疗药物监测是最常见的扩展活动 (71%).
- 在60%的医院中,药剂师有权独立调整,停止或更新药物订单.
- 时间和人员有限被认为是关键障碍,而领导力和专业间合作则是促进者.
结论:
- 许多安大略省医院都有扩大药剂师临床活动的政策,但实践范围有很大差异.
- 需要省级倡导来规范实践范围并优化患者的治疗结果.
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