在公共医院提供值班药剂师服务:一项追溯观察性研究
Amanda Yen Li Lim1, Courtney Jane Perkins1, Danilla Bakoos1
1Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville Campus, Parkville, VIC 3052, Australia.
The International journal of pharmacy practice
|August 12, 2025
概括
值班医院药剂师处理大量的药品供应和信息请求,其中很大一部分涉及抗菌药物和精神药物等高风险药物. 这凸显了需要改进数据管理和针对药剂师教育的需要.
科学领域:
- 药房实践和医疗服务研究 药房实践和医疗服务研究
- 临床药学和药理学 临床药学和药理学
- 医院药房运营 医院药房运营
背景情况:
- 值班医院药剂师在标准工作时间之外处理与药物相关的查询方面发挥着至关重要的作用.
- 了解这些调查的性质和数量对于优化药房服务和资源分配至关重要.
- 关于值班药房服务的范围,特别是南澳大利亚公立医院的数据是有限的.
研究的目的:
- 量化和分类值班医院药剂师收到的与药物相关的查询类型.
- 识别调查类型,时间和高风险药物的参与模式.
- 为改进应急药房支持和教育的战略提供信息.
主要方法:
- 从2019年1月到2023年12月,在南澳大利亚的七个地方卫生网络中对应急药剂师数据进行了回顾性分析.
- 查询被分类使用解剖治疗化学 (ATC) 系统和"APINCH"缩写 (抗微生物药物,精神药物,和电解质,胰岛素,麻醉剂和其他镇静剂,化疗剂,肝素和抗凝剂).
- 数据包括通话量,一天中的时间和涉及的药物类别.
主要成果:
- 在5年期间,共记录了9069起调查.
- 大多数电话涉及药品供应 (62%) 和药品信息 (20%),其中12%需要药剂师亲自出席.
- 根据"APINCH"的定义,高风险药物占调查的一半以上,其中抗菌药物 (44%),麻醉药物 (24%) 和精神药物 (16%) 是最常见的亚型. 作用于神经系统的药物是最常见的ATC分类.
结论:
- 值勤药房服务经常处理涉及高风险药物的询问,需要迅速提供和专家临床建议.
- 调查结果强调需要采用统一的,以技术为导向的方法来整合全州的应急数据.
- 这些数据可以为优化工作流程提供信息,为药剂师提供有针对性的教育,并为其他医疗保健专业人员提供更好的支持.
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