Cesta Annemarie, Bajcar Jana M, Ong Stephanie W, Fernandes Olavo A
Toronto General Hospital, University Health Network, Ontario, Canada.
Ann Pharmacother. 2006 Jun;40(6):1074-81. doi: 10.1345/aph.1G707. Epub 2006 May 30.
Continuity of care is required as patients move from the care of one pharmacist to another. The appropriate transfer of medication information between pharmacists as well as to patients at these times is essential in order to prevent drug-related problems (DRPs).
To develop a tool to transfer medication information between various pharmacists caring for the same patients. Secondary objectives were to evaluate the tool based on utility in practice and satisfaction of pharmacists.
The project consisted of a needs assessment involving in-depth interviews with patients and pharmacists and a literature review. These data were used to develop an optimal tool for medication information transfer between pharmacists in different practice settings. The tool was evaluated in a feasibility pilot for potential utility and pharmacist satisfaction.
The tool created called EMITT (electronic medication information transfer tool) facilitates the communication of information to outpatient pharmacists including a letter and an up-to-date list of the patient's drugs. A total of 187 medication issues were communicated within 40 transferred letters, 61 of which required active follow-up, which potentially prevented 348 DRPs if the receiver of the information acted on the information that was provided. The 3 most common issues that required follow-up were restarting a held medication (n = 13), adjustment of doses based on laboratory results (n = 11), and starting a new indicated medication in the future (n = 7).
A tool can be created to help address the gap in communication between pharmacists when patients move between interfaces of care by evaluating the needs of healthcare professionals involved in the information transfer process. It is envisioned that the elements of our tool can be easily adapted to other institutions to improve medication information transfer.
随着患者从一位药剂师的护理转至另一位药剂师的护理，需要持续护理。在此期间，药剂师之间以及向患者进行适当的用药信息传递对于预防药物相关问题（DRP）至关重要。
开发一种工具，用于在照顾同一患者的不同药剂师之间传递用药信息。次要目的是根据该工具在实践中的实用性和药剂师的满意度对其进行评估。
该项目包括需求评估，其中涉及对患者和药剂师的深入访谈以及文献综述。这些数据用于开发一种在不同实践环境中药剂师之间进行用药信息传递的最佳工具。该工具在可行性试点中进行了潜在实用性和药剂师满意度评估。
创建的名为EMITT（电子用药信息传递工具）的工具便于向门诊药剂师传递信息，包括一封信和患者最新的药物清单。在40封转递信件中共传递了187个用药问题，其中61个需要积极跟进，如果信息接收者根据提供的信息采取行动，这可能预防348个DRP。需要跟进的3个最常见问题是重新开始停用的药物（n = 13）、根据实验室结果调整剂量（n = 11）以及未来开始使用新的指定药物（n = 7）。
通过评估信息传递过程中涉及的医疗保健专业人员的需求，可以创建一种工具来帮助解决患者在护理界面之间转移时药剂师之间的沟通差距。预计我们工具的要素可以轻松适用于其他机构，以改善用药信息传递。
