Briceland L L, Kane M P, Hamilton R A
Albany College of Pharmacy, and Clinical Pharmacists, Samuel S. Stratton Department of Veterans Affairs Medical Center, NY.
Am J Hosp Pharm. 1992 May;49(5):1130-2.
A program is described in which Pharm.D. clerkship students provide pharmaceutical care by identifying drug-related problems, suggesting interventions to solve the problems, and documenting the patient's outcome. Four doctor of pharmacy degree students under the direct guidance of a clinical pharmacy preceptor suggested 231 patient-care interventions during their clinical rotations; 219 (94.8%) of the interventions were either fully or partially accepted by the prescriber. The most commonly solved drug-related problems were underdose (31.5%) and overdose (17.4%), followed by untreated indications (14.1%) and drug given without indication (13.7%). The remainder of the drug-related problems that the students solved were improper drug selection, failure to receive drug, adverse drug reactions, or drug interactions. All but 10 interventions were considered by preceptors to be significant contributions to patient care. The interventions were estimated to have decreased drug costs in 50.7% of the cases, increased drug costs in 23.7% of the cases, and not changed drug costs in 25.6% of the cases. Patient outcomes were documented by the students in 58.9% of cases; the desired goals of the accepted intervention were achieved in all documented cases. A preceptor-supervised intervention program was beneficial to Pharm.D. students and patients and was well received by prescribers.
本文描述了一个项目，在该项目中，药学博士实习学生通过识别与药物相关的问题、提出解决问题的干预措施并记录患者的治疗结果来提供药学服务。四名药学博士学位学生在临床药学带教老师的直接指导下，在临床轮转期间提出了231项患者护理干预措施；其中219项（94.8%）干预措施被开处方者全部或部分接受。最常解决的与药物相关的问题是剂量不足（31.5%）和过量用药（17.4%），其次是未治疗的适应症（14.1%）和无适应症用药（13.7%）。学生们解决的其余与药物相关的问题包括药物选择不当、未收到药物、药物不良反应或药物相互作用。除10项干预措施外，带教老师认为所有干预措施都对患者护理有重大贡献。据估计，这些干预措施在50.7%的案例中降低了药物成本，在23.7%的案例中增加了药物成本，在25.6%的案例中未改变药物成本。学生们在58.9%的案例中记录了患者的治疗结果；在所有有记录的案例中，均实现了所接受干预措施的预期目标。一个由带教老师监督的干预项目对药学博士学生和患者有益，并且受到开处方者的好评。
