Sawyer W T, Eckel F M
School of Pharmacy, University of North Carolina at Chapel Hill, NC.
Top Hosp Pharm Manage. 1992 Jan;11(4):1-9.
We have suggested that some pharmacotherapists may resist documentation because they view it as administrative intrusion rather than an essential component of continuity of care. In the final analysis, it is also a matter of the pharmacotherapist's belief. Pharmacists must understand what it is that they contribute, and must believe that it is both valuable and unique. It is not just an information management function--they are making patient-specific decisions and must be willing to be held accountable for their outcome. The pharmacy manager must also believe that such a responsible decision-making role represents that preferred future for the profession. Unfortunately, because many pharmacy managers have never truly functioned in such a role, developing such a belief system is difficult at best. The hospital administrator must also be made to believe that the contribution of the pharmacist to patient care not only extends beyond materials management but represents an entirely separate professional function. This will not occur simply through documentation of interventions. Yes, we believe that it is necessary to document pharmacotherapeutic interventions, however, not for the reasons that it is most frequently demanded.
我们曾指出，一些药物治疗师可能会抵制记录工作，因为他们将其视为行政干预，而非连续性护理的重要组成部分。归根结底，这也是药物治疗师的观念问题。药剂师必须明白自己所做的贡献，并且必须相信这些贡献是有价值且独特的。这不仅仅是一个信息管理功能——他们在做出针对患者的决策，并且必须愿意为决策结果负责。药房经理也必须相信，这样一个负责任的决策角色代表着该行业理想的未来。不幸的是，由于许多药房经理从未真正履行过这样的角色，所以要形成这样一种信念体系，往好里说也是困难重重。医院管理人员也必须相信，药剂师对患者护理的贡献不仅超越了物资管理，而且代表着一项完全独立的专业职能。这不会仅仅通过记录干预措施就实现。没错，我们认为记录药物治疗干预措施是有必要的，然而，并非出于最常被要求的那些原因。
