学生支持的药房评估计划对住院患者静脉血栓栓塞预防率的影响。
Impact of a student-supported pharmacy assessment program on venous thromboembolism prophylaxis rates in hospitalized patients.
机构信息
St. Luke's Hospital, Chesterfield, MO 65212, USA.
出版信息
Am J Pharm Educ. 2010 Aug 10;74(6):105. doi: 10.5688/aj7406105.
OBJECTIVES
To determine if the addition of a student-supported venous thromboembolism risk assessment strategy could improve rates of venous thromboembolism prophylaxis at a community teaching hospital.
METHODS
After receiving education and training on venous thromboembolism risk assessment, students assessed patients and recommended therapy in a 493-bed community teaching hospital over 5 weeks. Both the quantity and quality of venous thromboembolism prophylaxis were measured and compared to a baseline rate.
RESULTS
One hundred three recommendations were made to physicians with a 41% acceptance rate. Compared to previous rates, the percentages of patients receiving "any," "suitable," and "optimal" venous thromboembolism prophylaxis increased from 70.5% to 82.7% (p = 0.0005), 64.4% to 75.9% (p = 0.0022), and 56.3% to 68.5% (p = 0.0022), respectively.
CONCLUSIONS
A student-supported venous thromboembolism risk assessment strategy resulted in an increase in venous thromboembolism prophylaxis rates and could be used as a model for other institutions to integrate students into population-based care.
目的
确定在社区教学医院中增加学生支持的静脉血栓栓塞风险评估策略是否可以提高静脉血栓栓塞预防率。
方法
在接受静脉血栓栓塞风险评估方面的教育和培训后，学生在一家拥有 493 张床位的社区教学医院中对患者进行评估并提出治疗建议，持续 5 周。测量并比较了静脉血栓栓塞预防的数量和质量，并与基线率进行比较。
结果
向医生提出了 103 项建议，接受率为 41%。与以前的比率相比，接受“任何”、“合适”和“最佳”静脉血栓栓塞预防的患者百分比从 70.5%增加到 82.7%（p = 0.0005）、64.4%增加到 75.9%（p = 0.0022）和 56.3%增加到 68.5%（p = 0.0022）。
结论
学生支持的静脉血栓栓塞风险评估策略导致静脉血栓栓塞预防率提高，可作为其他机构将学生纳入基于人群的护理模式的模型。
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