Bajcar J, Chin T, Chui W, Wichman K
St. Michael's Hospital, Toronto, Ontario.
Can J Hosp Pharm. 1995 Apr;48(2):80-9.
The purpose of this project was to develop a workload documentation system which captures the clinical activities of the pharmacist, as well as the pharmacist's impact on the patient's drug therapy outcomes and costs. The documentation system consists of three sections: clinical activities, clinical effectiveness indicators, and cost-effectiveness indicators. In addition to those established by the National Hospital Productivity Improvement Program-Pharmacy Workload Measurement System, other indicators are incorporated to more accurately reflect the pharmacists' daily clinical activities. Clinical effectiveness indicators of patient outcomes include the number and type of drug-related problems identified and resolved and the number of therapeutic interventions made and accepted. Cost-effectiveness is measured by pharmacists' interventions on 14 focused areas of drug therapy. Compliance with daily documentation is facilitated by use of pocket-sized cards for data collection and retrieval. This documentation system has been implemented since December 1990. Quarterly reports submitted to the Director identify changes and trends in workload. Information is used for staff justification, impact assessment of clinical service provided, identification of needs for staff development and planning future clinical directions. In order to enhance the efficiency of documentation and data analysis, future plans include computerization and evaluation of the frequency of data collection.
本项目的目的是开发一个工作量记录系统，该系统能够记录药剂师的临床活动，以及药剂师对患者药物治疗结果和成本的影响。该记录系统由三个部分组成：临床活动、临床有效性指标和成本效益指标。除了国家医院生产力改进计划-药房工作量测量系统所设定的指标外，还纳入了其他指标，以更准确地反映药剂师的日常临床活动。患者结果的临床有效性指标包括识别和解决的药物相关问题的数量和类型，以及进行并被接受的治疗干预的数量。成本效益通过药剂师在14个重点药物治疗领域的干预来衡量。使用袖珍卡片进行数据收集和检索有助于促进每日记录的合规性。自1990年12月以来，该记录系统已开始实施。提交给主任的季度报告确定了工作量的变化和趋势。这些信息用于人员定编、评估所提供临床服务的影响、确定人员发展需求以及规划未来临床方向。为了提高记录和数据分析的效率，未来计划包括计算机化以及对数据收集频率的评估。
