与在一级创伤,综合性中风中心的夜间急诊药剂师实施相关的成本回避
Mark H Nguyen1, Kyle Gordon1, Breyanna Reachi1
1Department of Pharmacy, Intermountain Medical Center, Intermountain Health, Salt Lake City, UT, United States of America.
The American journal of emergency medicine
|May 28, 2024
概括
一夜间的紧急医疗药剂师 (EMP) 通过临床干预提供了显著的成本节约. 他们的专业知识改善了患者护理,特别是在中风治疗方面,证明了巨大的财务效益.
科学领域:
- 药房实践 在药房实践中
- 卫生经济学 卫生经济学
- 紧急医疗 紧急医疗
背景情况:
- 紧急医疗服务通常在夜间时间缺乏专门的药物支持.
- 临床药剂师的有限可用性可能会影响患者护理质量和资源利用.
研究的目的:
- 评估一夜间紧急药物药剂师 (EMP) 实施所产生的成本回避.
- 评估EMP对临床干预和患者护理基准的影响.
主要方法:
- 通过一夜间EMP追踪的前性干预措施的回顾性分析.
- 从一级创伤,综合性中风中心收集的数据超过4个月的时间.
- 根据记录的临床干预和文献计算的货币成本避免.
主要成果:
- 一夜间的EMP记录了820次干预,从而节省了612,974美元的成本.
- 最重要的干预措施包括床边监测,药物信息和抗菌药物管理.
- EMPs的存在与所有接受及时血栓抑制剂的急性缺血性中风患者相关.
结论:
- 一夜间EMP覆盖范围为重症患者提供关键的药物治疗专业知识.
- 实施EMP与大幅降低成本和改善临床结果有关.
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