Riley Karen D, Wazny Lori D
London Health Sciences Centre, London, ON.
CANNT J. 2006 Jan-Mar;16(1):24-8.
Studies have clearly identified the outpatient dialysis population as one that is at high risk for drug-related problems. The objective of this study was to evaluate whether a fax document was useful for community pharmacies and family physicians to notify these health care providers that their patient was receiving hemodialysis, to update medication and allergy records, provide dosing information on antibiotics and drugs to avoid, facilitate communication from the hemodialysis unit, and to decide if this was a worthwhile project to continue on an on-going basis.
Fax documents were sent to community pharmacists and family physicians of 70 hemodialysis patients from two different hemodialysis satellite units. The fax document consisted of a brief cover letter with contact numbers, a copy of the patient's medication and allergy list, a table of appropriate antibiotic doses and medications to avoid in dialysis, and a survey to evaluate this project's usefulness. Fisher's exact test was used to determine whether there were any significant differences between the family physician and community pharmacist responses.
The survey response rate was 37%. Ninety-five per cent (20/21) of family physicians and 81% (22/27) of community pharmacists who responded to the survey would use the medication profile to update their records. Ninety-five per cent of family physicians and 93% of community pharmacies thought the fax document was an improvement in communication from the dialysis unit. Ninety per cent of family physicians and 85% of community pharmacies thought that the fax document was a worthwhile project for the dialysis unit to continue. No significant differences were found between family physician and community pharmacist responses.
Implementation of a fax document for the transfer of medication information to family physicians and community pharmacists caring for hemodialysis patients aids in updating medication and allergy profiles, improves communication fom the dialysis unit and is considered a worthwhile project to continue on an ongoing basis.
研究已明确指出门诊透析人群是药物相关问题的高危人群。本研究的目的是评估一份传真文件对于社区药房和家庭医生而言是否有用，该文件用于通知这些医疗服务提供者其患者正在接受血液透析，以更新用药和过敏记录，提供抗生素给药信息及透析时应避免使用的药物信息，促进血液透析单位的沟通，并确定这是否是一个值得持续开展的项目。
向来自两个不同血液透析卫星单位的70名血液透析患者的社区药剂师和家庭医生发送传真文件。传真文件包括一封附有联系电话的简短求职信、患者用药和过敏清单的副本、一份透析时适当抗生素剂量及应避免使用药物的表格，以及一项评估该项目实用性的调查。采用Fisher精确检验来确定家庭医生和社区药剂师的回复之间是否存在显著差异。
调查回复率为37%。回复调查的家庭医生中有95%（20/21）和社区药剂师中有81%（22/27）会使用用药档案来更新他们的记录。95%的家庭医生和93%的社区药房认为传真文件改善了透析单位的沟通。90%的家庭医生和85%的社区药房认为传真文件对透析单位来说是一个值得继续开展的项目。家庭医生和社区药剂师的回复之间未发现显著差异。
实施一份用于向照顾血液透析患者的家庭医生和社区药剂师传递用药信息的传真文件，有助于更新用药和过敏档案，改善透析单位的沟通，并且被认为是一个值得持续开展的项目。
