超越床边:利用值班药剂师来弥补临床覆盖的缺口
Alyssa S Meester1, Erica Caffarini1, Mariela Cardona Gonzalez1
1Ohio Health Riverside Methodist Hospital, Columbus, OH, USA.
Journal of pharmacy practice
|September 4, 2025
概括
一个值班重症监护药剂师服务成功弥补了专业ICU患者的临床覆盖缺口,处理了许多干预措施. 当现场急诊药剂师无法提供时,该模型提供了必要的支持.
科学领域:
- 临床护理药房实践
- 药物经济学
- 医疗服务研究
背景情况:
- 需要专业的临床药房支持.
- 现场急诊药剂师覆盖的缺口可能会影响患者的护理.
- 现有的急诊药剂师人员配置模式可能无法满足所有需求.
研究的目的:
- 评估应急急护理药剂师服务的使用情况.
- 评估该服务在弥合专业ICU人群临床覆盖缺口方面的作用.
- 描述收到的咨询的性质和数量.
主要方法:
- 实施24小时24小时的医疗和心脏ICU药剂师团队.
- 收集收到的电话,花费的时间和记录的干预数据.
- 描述性统计分析2022年10月至2025年3月的通话数据.
主要成果:
- 该服务接收了207个电话,导致了218个记录的干预.
- 大多数电话涉及体外膜氧化 (ECMO),肺高血压和Impella®患者.
- 药剂师,高级实践提供者和医生是主要使用者,抗凝血/静血是关键的干预领域.
结论:
- 一个24小时全天候急诊药剂师模式有效地弥补了临床覆盖的差距.
- 这项服务为专门的,重症患者群体提供了至关重要的支持.
- 需要进一步研究该模型的药物经济和临床影响.
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