实施和评估夜间重症监护药剂师班的实施和评估
Yumi Oh1, Kimberly A Ackerbauer2, Sopheaktra Kong3
1Department of Pharmacy, Henry Ford Hospital, Detroit, MI, USA.
概括
实施夜间重症监护药剂师班次显著增加了记录的干预措施和遵守患者护理建议. 这项质量改进计划增强了药房服务,但没有对订单验证时间产生负面影响.
科学领域:
- 药房实践 在药房实践中
- 关键护理医学 关键护理医学
- 提高质量 提高质量
背景情况:
- 重症护理药房服务是必不可少的,并由主要的专业组织推.
- 优化一夜间药房服务对于患者安全和护理质量至关重要.
研究的目的:
- 评估引入夜间重症监护药剂师班的影响.
- 评估药房服务的变化和遵守重症监护建议.
主要方法:
- 在2023年10月实施过夜重症监护药剂师班.
- 利用计划-做-研究-行动 (PDSA) 周期来衡量结果.
- 追踪到订单验证的时间,给药的时间和药剂师的干预.
主要成果:
- 机构对建议的遵守率从6.2%增加到67.2%.
- 平均每月的干预从84个增加到214个.
- 患者个人资料审查发生在100%的班次,导致93.3%的病例进行干预.
结论:
- 夜间重症监护药剂师加强记录的干预和合规性.
- 实施并没有显著增加订单验证或管理时间.
- 进一步优化一夜间临床药房活动是可能的.
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