Follin S L, Kwong N M
Department of Pharmacy Practice, University of Colorado, Denver, USA.
Am J Health Syst Pharm. 2000 Nov 1;57(21):1990-3. doi: 10.1093/ajhp/57.21.1990.
The revision and outcomes of a pharmacy consultation program on a transitional care unit (TCU) are described. In 1996, the pharmacy consultation program for the TCU at a 550-bed, tertiary care, community teaching hospital was revised. The changes included increasing the number and depth of medication reviews, mandating pharmacist attendance at interdisciplinary meetings, simplifying the medication review form, and expanding physician education. Data collected during the final two years of the original program (May 1994 to April 1996) and the first two years of the revised program (July 1996 to August 1998) were compared. The number of drug-related problems identified per admission was 0.80 for the revised program (versus 0.32 for the original program), the percentage of patients receiving at least one pharmacy medication review was 99% (versus 70%), the number of pharmacist recommendations made was 726 (versus 140), and the percentage of recommendations accepted was 82% (versus 55%). The program required up to 15 hours of pharmacist time per week. Cost savings were estimated at $15,000 for the first year of the revised program and $23,000 for the second year. Revision of the pharmacy consultation program for a TCU increased the identification of drug-related problems and the number of pharmacist recommendations, helped integrate pharmacists into the interdisciplinary care team, and produced a modest estimated cost savings.
本文描述了过渡护理单元（TCU）药房咨询项目的修订情况及成果。1996年，一家拥有550张床位的三级社区教学医院对TCU的药房咨询项目进行了修订。修订内容包括增加药物审查的数量和深度、要求药剂师参加多学科会议、简化药物审查表格以及加强对医生的教育。对原项目最后两年（1994年5月至1996年4月）和修订后项目头两年（1996年7月至1998年8月）收集的数据进行了比较。修订后项目每次入院发现的药物相关问题数量为0.80（原项目为0.32），接受至少一次药房药物审查的患者比例为99%（原项目为70%），药剂师提出的建议数量为726条（原项目为140条），建议接受率为82%（原项目为55%）。该项目每周需要药剂师最多15小时的时间。修订后项目第一年估计节省成本15,000美元，第二年节省23,000美元。对TCU药房咨询项目的修订增加了药物相关问题的发现和药剂师建议的数量，有助于将药剂师纳入多学科护理团队，并产生了适度的估计成本节省。
