使用质量改进框架来开发,实施和评估一种新的门诊瘤药房实践模式:一个描述性的例子
Hayley Underhill1,2, Michael LeBlanc3,4, Robyn Macfarlane5
1College of Pharmacy, Dalhousie University, Halifax, NS.
概括
计划-做-研究-行动框架成功开发了一个由药剂师领导的门诊瘤诊所,用于口服治疗前列腺癌患者. 这种质量改善方法支持了诊所的评估和可持续性.
科学领域:
- 药房实践 在药房实践.
- 提高质量 提高质量
- 在瘤学瘤学.
背景情况:
- 门诊瘤护理需要创新的模型来支持患者在口服抗癌疗法.
- 药剂师主导的干预可以提高患者的治疗结果,并优化治疗管理.
研究的目的:
- 应用计划-执行-研究-行为 (PDSA) 质量改进框架.
- 引导开发,实施和评估一种新的门诊瘤药房实践模型.
主要方法:
- 利用了PDSA框架的四个代周期.
- 开发了一个面向病人,药剂师为前列腺癌患者提供口服抗癌治疗的临床诊所.
- 在整个开发过程中收集指标,以确定过程改进的领域.
主要成果:
- 这家由药剂师领导的诊所在2019年7月至2023年1月期间为136名前列腺癌患者提供了护理,共有464次接触.
- 为患者提供临床干预和咨询,开始或建立口服抗癌疗法.
- 纵向护理模式促进了持续的患者支持和管理.
结论:
- 该PDSA框架有效地支持了药剂师领导的门诊瘤诊所的开发,评估和可持续性.
- 这种模型在治疗接受口服抗癌治疗的前列腺癌患者方面取得了成功.
- 质量改进原则的应用对于在瘤学环境中推进药房实践至关重要.
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