Spradling G F
Veterans Administration Medical Center, Waco, TX 76711.
Hosp Pharm. 1990 Nov;25(11):1021-4, 1027.
The article describes a system of continuous quality assurance monitoring which is accomplished by pharmacists at the medical center. This 856 bed Veterans Affairs facility is provided pharmacy services through a decentralized unit dose distribution system. Pharmacists are assigned to separate patient care areas and provide or coordinate all drug distribution functions and additionally provide clinically-oriented services including quality assurance intervention. Pharmacists are provided guidelines on selected medication therapy which warrant pharmacist monitoring to assure high quality of care. In addition to these guidelines, pharmacists are encouraged to intervene in other therapeutic areas where their expertise favorably impacts quality of patient care. A report of clinically significant intervention is prepared monthly and submitted to the Drug Use Evaluation Subcommittee for review. This report is distributed along with the Pharmacy and Therapeutic Committee minutes to all pharmacists, physicians, and supervisory nursing personnel. The system of continuous quality assurance monitoring encourages pharmacists to use their expertise in a manner which assures quality of medical care provided by the medical center. Documentation of pharmacist intervention meets many JCAHO requirements for quality assurance.
本文描述了一个由医疗中心的药剂师完成的持续质量保证监测系统。这家拥有856张床位的退伍军人事务设施通过分散的单剂量配药系统提供药学服务。药剂师被分配到不同的患者护理区域，提供或协调所有药品分发职能，并额外提供包括质量保证干预在内的以临床为导向的服务。针对选定的药物治疗为药剂师提供指导方针，这些治疗需要药剂师进行监测以确保高质量的护理。除了这些指导方针外，还鼓励药剂师在其他治疗领域进行干预，因为他们的专业知识会对患者护理质量产生有利影响。每月编写一份具有临床意义的干预报告，并提交给药物使用评估小组委员会进行审查。这份报告与药学和治疗委员会会议记录一起分发给所有药剂师、医生和护理监督人员。持续质量保证监测系统鼓励药剂师以确保医疗中心提供的医疗质量的方式运用他们的专业知识。药剂师干预的记录符合联合委员会国际医院认证（JCAHO）的许多质量保证要求。
