Nezis K, Einarson T R, Tierney M G
Faculty of Pharmacy, University of Toronto, Ontario.
Can J Hosp Pharm. 1991 Dec;44(6):277-82.
A study was conducted to collect work measurement data for pharmacokinetic drug consultation services. A stopwatch was used to measure the time required to perform pharmacokinetic consultations in the Ottawa General Hospital, a 530-bed tertiary care teaching hospital. Ten pharmacists provided 166 drug consults primarily for phenytoin, aminoglycosides, digoxin, and theophylline. The time required to obtain drug level measurements averaged 1.10 minutes. Consults required an average of 8.28 (SD = 4.72) minutes. Initial consults took 10.35 (SD = 5.07) minutes, while repeat consults took 6.62 (SD = 3.67) minutes. The difference was significant (t = 5.48, df = 164, P less than 0.001). No significant differences were found among consults for different drugs nor between primary and secondary patient coverage areas. There was a significant difference in the time required to perform a consult among pharmacists. Consult times were considerably less than those reported by the Canadian Hospital Pharmacy Workload Measurement Study.
开展了一项研究以收集药代动力学药物咨询服务的工作测量数据。在渥太华综合医院(一家拥有530张床位的三级护理教学医院),使用秒表测量进行药代动力学咨询所需的时间。10名药剂师提供了166次药物咨询,主要涉及苯妥英钠、氨基糖苷类、地高辛和茶碱。获取药物水平测量结果所需的时间平均为1.10分钟。咨询平均需要8.28(标准差 = 4.72)分钟。初次咨询用时10.35(标准差 = 5.07)分钟,而重复咨询用时6.62(标准差 = 3.67)分钟。差异具有统计学意义(t = 5.48,自由度 = 164,P < 0.001)。不同药物的咨询之间以及主要和次要患者覆盖区域之间均未发现显著差异。药剂师进行咨询所需的时间存在显著差异。咨询时间远少于加拿大医院药房工作量测量研究报告的时间。