Pharmacy Department, Imperial College Healthcare NHS Trust, London.
Clin Med (Lond). 2011 Aug;11(4):312-6. doi: 10.7861/clinmedicine.11-4-312.
This study aimed to compare interventions made by pharmacists attending consultant-led ward rounds in addition to providing a ward pharmacy service, with those made by pharmacists providing a word pharmacy service alone. A prospective non-randomised controlled study on five inpatient medical wards was carried out at two teaching hospitals. A mean of 1.73 physician-accepted interventions were made per patient for the study group, compared to 0.89 for the control (Mann Whitney U, p < 0.001) with no difference between groups in the nature or clinical importance of the interventions. One physician-accepted intervention was made every eight minutes during the consultant-led ward rounds, compared to one every 63 minutes during a ward pharmacist visit. Pharmacists attending consultant-led ward rounds in addition to undertaking a ward pharmacist visit make significantly more interventions per patient than those made by pharmacists undertaking a ward pharmacist visit alone, rectifying prescribing errors and optimising treatment.
这项研究旨在比较药剂师在提供病房药房服务的基础上参与顾问主导的病房查房所做的干预措施，与药剂师仅提供病房药房服务所做的干预措施。在两家教学医院的五间住院内科病房进行了一项前瞻性非随机对照研究。研究组每位患者接受的医生认可的干预措施平均为 1.73 次，而对照组为 0.89 次（Mann Whitney U，p < 0.001），两组之间的干预措施性质或临床重要性无差异。顾问主导的病房查房期间，每八分钟进行一次医生认可的干预措施，而病房药师访问期间则每 63 分钟进行一次。与仅进行病房药师访问的药剂师相比，在顾问主导的病房查房期间参与的药剂师每位患者的干预措施明显更多，可纠正处方错误并优化治疗。
