学生药剂师对高危住院普通内科患者用药重整过程的影响。
Impact of students pharmacists on the medication reconciliation process in high-risk hospitalized general medicine patients.
作者信息
Lancaster Jason Wesley, Grgurich Philip E
机构信息
Department of Pharmacy Practice, Northeastern University, Boston, Massachusetts ; Lahey Hospital and Medical Center, Burlington, Massachusetts.
Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts ; Lahey Hospital and Medical Center, Burlington, Massachusetts.
出版信息
Am J Pharm Educ. 2014 Mar 12;78(2):34. doi: 10.5688/ajpe78234.
UNLABELLED
OBJECTIVE" To compare the accuracy of medication lists obtained by student pharmacists, nurses, and physicians, and quantify the number of discrepancies identified as part of the medication reconciliation process.
METHODS
Between May and July 2012, patients admitted to an internal medicine team at a 350-bed tertiary academic medical center were assessed for inclusion in the study. Physicians and/or nurses conducted medication reviews for these patients at the time of admission, while student pharmacists conducted medication reconciliation.
RESULTS
Eighty-six patients were assessed, and 52 met all inclusion criteria. A total of 268 discrepancies were identified as part of the medication reconciliation performed by the student pharmacists, approximating 5 discrepancies per patient (range 0-13). Student pharmacists identified 532 preadmission medications, significantly more than did nurses (355) or physicians (368), p=0.006.
CONCLUSION
Student pharmacists, with appropriate oversight, can be used in several tasks that previously may have been designated to pharmacists only, such as medication reconciliation.
未标注
目的：比较学生药剂师、护士和医生获取的用药清单的准确性，并量化作为用药核对过程一部分所发现的差异数量。
方法
2012年5月至7月期间，对一家拥有350张床位的三级学术医疗中心内科团队收治的患者进行纳入研究评估。医生和/或护士在患者入院时对这些患者进行用药审查，而学生药剂师进行用药核对。
结果
评估了86名患者，其中52名符合所有纳入标准。学生药剂师在进行用药核对过程中总共发现了268处差异，每名患者约5处差异（范围为0至13处）。学生药剂师识别出532种入院前用药，显著多于护士（355种）或医生（368种），p = 0.006。
结论
在适当监督下，学生药剂师可用于多项以前可能仅指定由药剂师执行的任务，如用药核对。
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