伊利诺伊州小型农村医院的药学实践——2011 年。

Pharmacy practice in small and rural hospitals in Illinois--2011.

机构信息

Center for Pharmacoepidemiology and Pharmacoeconomic Research, 833 South Wood Street (MC 886), Chicago, IL 60612, USA.

出版信息

Am J Health Syst Pharm. 2013 Jul 1;70(13):1144-52. doi: 10.2146/ajhp120437.

DOI:10.2146/ajhp120437

PMID:23784162

Abstract

PURPOSE

The results of a 2011 survey evaluating pharmacy services at small and rural Illinois hospitals are presented and compared with data from similar surveys in 2001 and 1991.

METHODS

A questionnaire modeled on the previous survey instruments but updated to reflect contemporary pharmacy practice was mailed to pharmacy directors at 86 small hospitals (i.e., <150 staffed beds) and rural hospitals (i.e., located outside metropolitan areas).

RESULTS

The response rate was 46.5%. The survey data indicated that 57.5% of hospitals represented in the 2011 survey had a centralized drug distribution system, 35.0% had a hybrid system, and 7.5% had a decentralized system. The most commonly reported form of technology was automated dispensing cabinets, which were in use at 75.0% of hospitals in 2011, compared with 34.8% of hospitals represented in the 2001 survey. Barcode verification of medication doses before dispensing and at the time of administration was performed at 50% and 70% of hospitals, respectively. While the provision of clinical pharmacy services has risen sharply since 1991, substantial changes were not observed between 2001 and 2011 except in the provision of compliance and drug histories (67.6% of hospitals in 2011 versus 46.8% in 2001) and pharmacist participation in medical emergency responses (54.0% versus 34.0%).

CONCLUSION

A 2011 survey of pharmacy departments in small and rural Illinois hospitals provided information on the use of automation and health information technologies and showed changes in the provision of many clinical pharmacy services since 1991.

摘要

目的

呈现并比较 2011 年对伊利诺伊州小型和农村医院药学服务的调查结果与 2001 年和 1991 年类似调查的数据。

方法

以先前调查工具为模型，但更新以反映当代药学实践的问卷被邮寄给 86 家小型医院（即<150 张床位）和农村医院（即位于大都市区外）的药剂主任。

结果

回复率为 46.5%。调查数据表明，2011 年调查所代表的 57.5%的医院采用集中式药品配送系统，35.0%采用混合系统，7.5%采用分散式系统。报告的最常见技术形式是自动化配药柜，2011 年有 75.0%的医院在使用，而 2001 年调查所代表的医院中有 34.8%在使用。在配发和给药时对药物剂量进行条码验证的医院分别为 50%和 70%。自 1991 年以来，临床药学服务的提供大幅增加，但 2001 年至 2011 年期间并未观察到实质性变化，除了合规和药物史的提供（2011 年有 67.6%的医院，而 2001 年为 46.8%）和药剂师参与医疗急救响应（54.0%对 34.0%）有所增加。