Coralic Zlatan, Kanzaria Hemal K, Bero Lisa, Stein John
University of California San Francisco, Department of Emergency Medicine, San Francisco, California ; University of California San Francisco, Department of Clinical Pharmacy, San Francisco, California.
University of California Los Angeles, Department of Emergency Medicine, Los Angeles, California.
West J Emerg Med. 2014 Mar;15(2):205-10. doi: 10.5811/westjem.2013.11.18069.
Emergency department clinical pharmacists (EPh) serve a relatively new clinical role in emergency medicine. New EPh may still face barriers prior to working in the emergency department (ED), including staff acceptance. We aimed to assess staff perceptions of a university hospital EPh program 1 year after implementation.
We sent an electronic survey consisting of 7 multiple-choice questions, 17 5-point Likert-scale questions, and 1 free-text comment section to ED providers and nurses. The qualitatively validated survey assessed staff's general perceptions of the EPh and their clinical work.
We received responses from 14 attending physicians, 34 emergency medicine residents, 5 mid-level providers, and 51 nurses (80% response rate). Overall, the ED staff strongly supported the presence of an EPh. All of the respondents consulted the EPh at least once in their previous 5 ED shifts. Most respondents (81%) felt the EPh's availability for general consultation and aid during resuscitations served as the major contribution to medication and patient safety. The participants also expressed that they were more likely to consult a pharmacist when they were located in the ED, as opposed to having to call the main pharmacy.
The EPh model of practice at our institution provides valuable perceived benefit to ED providers.
急诊科临床药师（EPh）在急诊医学中发挥着相对较新的临床作用。新的急诊科临床药师在进入急诊科工作之前可能仍会面临一些障碍，包括工作人员的接受度。我们旨在评估一所大学医院的急诊科临床药师项目实施1年后工作人员的看法。
我们向急诊科的医生和护士发送了一份电子调查问卷，其中包括7个多项选择题、17个5级李克特量表问题和1个自由文本评论部分。经过定性验证的调查评估了工作人员对急诊科临床药师及其临床工作的总体看法。
我们收到了14名主治医师、34名急诊医学住院医师、5名中级医疗人员和51名护士的回复（回复率为80%）。总体而言，急诊科工作人员强烈支持急诊科临床药师的存在。所有受访者在之前的5次急诊科轮班中至少咨询过急诊科临床药师一次。大多数受访者（81%）认为急诊科临床药师在复苏期间随时提供一般咨询和帮助对药物和患者安全起到了主要作用。参与者还表示，与必须致电主药房相比，当他们在急诊科时更有可能咨询药剂师。
我们机构的急诊科临床药师实践模式为急诊科医疗人员带来了切实的益处。
