C.S. Mott Children's Hospital, Ann Arbor, Michigan, USA.
J Patient Saf. 2010 Jun;6(2):76-9. doi: 10.1097/PTS.0b013e3181cb43b4.
Medication distribution is a complex system involving multiple disciplines. Workplace issues that include both pharmacy and nursing personnel must continuously strive to ensure patient safety amidst an increasingly demanding health care setting. Between 2000 and 2008, more than 46,000 articles have been published on quality assessment and patient safety with pediatric medication safety issues showing a steady increase.
A preimplementation and postimplementation review was conducted of a medication at the bedside pilot in 2 pediatric intensive care units. Pharmacy technicians were used to provide medication delivery to patient bedsides, and an analysis on the impact on nursing was conducted.
Implementation of a Medication Manager program using pharmacy technicians to deliver medication directly to patient bedside has shown both subjective and objective benefit. The program resulted in an 85% reduction in nursing trips to the medication room and a 45% decrease in the time spent there. A significant reduction of 50% in medication retrieval and 85% reduction in missing medication costs were also shown. Satisfaction improved from both the nursing and pharmacy perspective.
Pharmacy technicians can be successfully used to provide additional services outside their normal scope of practice. By using a medication at the bedside type of program, one can improve pharmacy and nursing communication, increase nurse's time with the patient, reduce medication waste, and potentially impact medication errors. Within the current constraints of health care systems, we must continuously strive to identify new systems that improve medication delivery and administration.
药物分发是一个涉及多个学科的复杂系统。工作场所问题包括药剂师和护士人员，必须不断努力确保在要求越来越高的医疗环境中保障患者安全。在 2000 年至 2008 年期间，已经发表了超过 46000 篇关于质量评估和患者安全的文章，其中儿科药物安全问题的文章数量稳步增加。
对 2 个儿科重症监护病房的床边药物进行了预实施和实施后审查。药剂师技术员被用于将药物送到患者床边，并对其对护理的影响进行了分析。
使用药剂师技术员将药物直接送到患者床边的“药物管理员”计划的实施，显示出了主观和客观的益处。该计划使护理人员前往药房的次数减少了 85%，在药房花费的时间减少了 45%。药物检索减少了 50%，缺失药物成本减少了 85%。护理人员和药剂师的满意度都有所提高。
药剂师技术员可以成功地在其正常工作范围之外提供额外的服务。通过使用床边药物类型的计划，可以改善药剂师和护士之间的沟通，增加护士与患者在一起的时间，减少药物浪费，并可能减少药物错误。在当前医疗保健系统的限制下，我们必须不断努力寻找新的系统，以改善药物的配送和管理。
