通过临床药剂师改善退伍军人在门诊环境中的药基因组测试过程
Hailee M Sens1, Jessica Danner1, Ann Marie Householder1
1Veterans Affairs Central Ohio Healthcare System, Columbus.
概括
在实施新工作流程后,退伍军人药物基因组测试 (PHASER) 的订单增加了125%. 这项质量提升倡议解决了检测障碍,通过个性化药物洞察提高了患者护理.
科学领域:
- 药物基因组学
- 临床药房
- 医疗服务研究
背景情况:
- 退伍军人药物基因组测试 (PHASER) 计划提供16个基因测试组,以优化药物疗效和减少药物不良事件.
- 美国退伍军人事务部 (VA) 的中央俄俄州医疗保健系统倡议旨在促进临床药剂师 (CPP) 的门诊PHASER订单.
研究的目的:
- 确定CPP在订购PHASER测试时遇到的障碍.
- 实施一个新的工作流程,以提高PHASER的订单率.
主要方法:
- 一项对CPP的调查发现了PHASER订购的障碍,包括缺乏教育,标准化流程,时间限制和倦怠.
- 差距分析为新工作流程的开发提供了信息,其中包括预先填写的模板,教育和视觉提醒.
- 该计划的目标是在3个月内增加PHASER订单的50%.
主要成果:
- 从前实施的87个订单大幅增加到后实施的196个订单,增长了125%.
- 实施的工作流程成功解决了所发现的障碍,并建立了一个明确的订单流程.
结论:
- 这项质量改进计划有效增加了PHASER测试订单.
- 这项研究证明了在临床环境中克服药物基因组测试障碍的成功策略.
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