Hart L L, Miwa L J, Millares M
Hosp Formul. 1989 Jul;24(7):383-6, 388-9.
In this quality assurance audit, 197 drug information requests received over a 10-day period were evaluated for completeness, legibility, and appropriate documentation according to standards set by the ASHP's Special Interest Group on Drug and Poison Information Practice. Deficiencies in documentation of the caller's telephone number (lacking in 21% of forms), time a response was needed (58%), background information (18%), references searched (16%), and staff review (31%) were noted. Corrective action included emphasis on quality control via improved documentation and daily review of completed consultations by senior staff. Three months later, a reaudit of 240 drug information requests found marked improvement in documentation (information regarding the above-mentioned variables was lacking in 1.7%, 2.5%, 2%, 1.3%, and 3.3%, respectively, of request forms). However, increased documentation resulted in increased response times--30% of questions were not answered the same day as asked, and 12% were not answered in the time frame requested.
在此次质量保证审核中,根据美国卫生系统药师协会药物与毒物信息实践特别兴趣小组制定的标准,对在10天内收到的197份药物信息请求进行了完整性、清晰度和适当文件记录方面的评估。发现来电者电话号码记录(21%的表格中缺失)、需要回复的时间(58%)、背景信息(18%)、检索的参考文献(16%)以及工作人员审核(31%)等方面存在文件记录缺陷。纠正措施包括通过改进文件记录和由高级工作人员对已完成的咨询进行每日审核来强调质量控制。三个月后,对240份药物信息请求进行的重新审核发现,文件记录有显著改善(上述变量的信息分别在1.7%、2.5%、2%、1.3%和3.3%的请求表格中缺失)。然而,文件记录的增加导致回复时间延长——30%的问题未能在提问当天得到回答,12%的问题未在要求的时间范围内得到回答。