在门诊妇科和肺癌诊所开展基于团队合作的护理实施
Shirin Abadi1, Andrew Pool1, Anna Tinker2
1Department of Pharmacy, BC Cancer - Vancouver Centre, Vancouver, BC, Canada.
概括
将药剂师纳入瘤团队医疗 (TBC) 显著增加了药物治疗问题 (DTP) 和临床药房关键绩效指标 (cpKPIs) 的识别和解决. 这种协作模式增强了癌症治疗中的患者安全和护理.
科学领域:
- 在瘤学瘤学.
- 临床药房 临床药房
- 医疗保健管理的管理
背景情况:
- 癌症患者面临不良健康结果的风险,包括药物治疗问题 (DTP).
- 基于团队的护理 (TBC) 模型对于改善医疗保健中的患者结果,安全性和效率至关重要.
- 在多学科团队中整合专业角色可以优化患者护理服务.
研究的目的:
- 设计和评估一个整合住院培训药剂师到跨专业瘤团队的护理模式.
- 优化基于团队的护理 (TBC) 和以患者为中心的护理在门诊妇科和肺癌诊所.
- 量化药剂师整合对确定和解决临床药房关键绩效指标 (cpKPIs) 和DTPs的影响.
主要方法:
- 在门诊瘤诊所进行了前性非随机研究.
- 一名经过实习培训的药剂师被整合到一个多学科团队中,其中包括瘤学家和护士.
- 临床药房关键绩效指标 (cpKPIs) 和DTP在实施前和后被跟踪.
主要成果:
- 药剂师融入TBC模型在妇科和肺癌诊所取得了成功.
- 在实施后,确定了165个临床重要cpKPIs和DTP,而基线时只有32个.
- 药物调和和药物相互作用分别是最常见的cpKPIs和DTPs.
结论:
- 一个协作式的,多学科的基于团队的护理 (TBC) 方法是有效的癌症患者管理.
- 将药剂师加入TBC团队显著提高了关键药物治疗问题的识别和解决 (DTP).
- 这种综合模型提高了患者的安全性,并优化了瘤学环境中的药物管理.
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