对药剂师参与应急响应的评估
Melissa A Jeghers1, Christine Ji1, Kelly Newman1
1Department of Pharmacy, Massachusetts General Hospital, Boston, MA, USA.
Journal of pharmacy practice
|December 22, 2024
概括
临床药剂师对紧急响应小组产生重大影响,在近一半的事件中投入大量时间和干预. 他们的参与确保在急性患者脱补偿期间更好地遵守重症监护指南和药物管理.
科学领域:
- 临床药房 临床药房
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 紧急响应小组为住院患者提供急性失补偿的关键护理.
- 将药剂师整合到这些团队中可以提高对高级心脏生命支持 (ACLS) 准则的遵守.
研究的目的:
- 评估药剂师参与紧急反应的影响.
- 量化临床药剂师为紧急响应事件所花费的时间.
主要方法:
- 一个单一中心的回顾性图表审查住院和门诊紧急响应 (2021年8月-2022年1月).
- 分析电子健康记录 (EHR) 中的干预文档.
- 用于紧急响应的药剂师时间的计算,以全职等效 (FTE) 表示.
主要成果:
- 药剂师在六个月的时间里花费了9480分钟 (158小时) 来应对紧急情况,平均每次事件花费了40.7分钟.
- 超过70%的反应需要药剂师准备的6-10种药物.
- 药剂师在47%的评估紧急反应中进行了干预.
结论:
- 临床药剂师在紧急响应的时间相当于六个月的FTE约26%.
- 药剂师的干预强调了他们在紧急响应小组中的不可或缺的作用.
- 由于文档限制,药剂师时间可能不足.
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