实施一个跨专业模式来管理产后高血压
Ana A Safri1, Brian T Kopcza1, Stacey Cohen Kaplon1
1Boston Medical Center, Boston, MA, USA.
概括
一个整合药剂师的跨专业模式改善了产后高血压 (PPHTN) 管理. 这种使用远程医疗和电子咨询的方法确保了对高风险,多样化的群体及时,公平的护理.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 产后高血压 (PPHTN) 是严重的孕产妇并发症的重要危险因素,包括中风.
- 对PPHTN的有效管理至关重要,但对于临床医生来说往往是具有挑战性的.
- 基于团队的护理模式,特别是那些涉及药剂师的护理模式,显示出改善血压控制的潜力.
研究的目的:
- 评估产后高血压管理的跨专业模式的影响和可行性.
- 探索在PPHTN协作管理团队中的门诊护理药剂师的作用.
主要方法:
- 在安全网医院实施一种新的跨专业模式.
- 门诊护理药剂师,产科护士 (OBRNs) 和孕产妇医学专家之间的合作.
- 利用电子咨询 (e-consults),远程医疗用于数据收集/OBRN的症状评估,以及基于算法的药剂师主导的药物启动协作实践协议.
主要成果:
- 药剂师在第一季度完成了55个电子咨询,并产生了54个处方.
- 平均查看图表时间为12.5分钟,平均电子咨询完成时间为54分钟.
- 为45名独特的患者提供了护理,主要是非英语和非西班牙裔黑人个人;药剂师报告了中等到高的舒适度.
结论:
- 将药剂师纳入PPHTN护理有助于迅速启动和定位药物.
- 这种创新的模式,包括远程监测,远程医疗和电子咨询,确保及时,公平的护理,并改善多样化的人口的获取.
- 根据药剂师的反进行了工作流调整,提高了模型的有效性.
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