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在急性护理环境中确定,实施和验证药剂师影响的临床结果措施的标准流程的开发 - 第一部分
Elizabeth Tinoco1, Emily Lineberry1, Brian P McKinzie1
1University of North Carolina Medical Center, Chapel Hill, NC, USA.
概括
这项研究开发了一种标准过程,以确定急性护理药房服务的临床结果. 计划-做-研究-行动的方法成功地将药剂师的干预与患者护理结果联系起来.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 急性护理药房服务是分散的,缺乏一种标准化的方法来将其活动与临床结果联系起来.
- 现有的文献在描述如何识别急性护理临床药剂师影响的服务特定结果方面存在差距.
研究的目的:
- 为确定药剂师对急性护理机构临床结果的贡献制定标准流程.
- 建立基于系统的方法,将分散的药房服务与可衡量的临床结果联系起来.
主要方法:
- 使用了计划-做-研究-行动 (PDSA) 质量改进方法.
- 采用混合方法方法,包括定性数据用于调查细化和定量评估.
- 开发了一个三部分框架 (环境扫描,德尔菲调查,最终反) 在三个急性护理服务中进行试点.
主要成果:
- 代试点测试和过程修改取得了成功,第三个试点需要零修改.
- 在主题专家之间就服务特定的临床结果达成共识.
- 确定了烧伤重症监护室的9个结局,成人腹部移植服务的13个结局,成人急诊医疗服务的16个结局.
结论:
- 该PDSA方法使得创建一个标准的,可持续的过程,以确定服务特定的临床结果急性护理药房.
- 开发的过程促进了药房服务与可测量的临床结果之间的联系.
- 未来的研究将专注于验证这些结果,并在电子病历中报告这些结果.
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