美国各地医院用药重整计划中药房参与情况的调查。

Survey of pharmacy involvement in hospital medication reconciliation programs across the United States.

作者信息

Stein Gregory R, Yudchyts Anya, Iglin Mikhail Y, Claudio Maria M

机构信息

The Brooklyn Hospital Center, New York, NY, USA.

Cedars-Sinai Medical Center, Los Angeles, CA, USA.

出版信息

SAGE Open Med. 2015 Nov 9;3:2050312115615147. doi: 10.1177/2050312115615147. eCollection 2015.

DOI:10.1177/2050312115615147

PMID:27092258

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4822532/

Abstract

OBJECTIVE

The objective of this study is to conduct a review of pertinent literature, assess pharmacy involvement in medication reconciliation, and offer insight into best practices for hospitals to implement and enhance their medication reconciliation programs.

METHOD

Pharmacists in hospitals nationwide were asked to complete an anonymous survey via the American College of Clinical Pharmacy online database. The multiple choice survey analyzed the roles that healthcare professionals play in medication reconciliation programs at hospitals.

RESULTS

Of the survey responses received, 32/91 (35%) came from pharmacists at hospitals with a pharmacy-led medication reconciliation program. Of these pharmacy-led programs, 17/32 (53%) have a dedicated pharmacist or pharmacy staff to perform medication reconciliation.

CONCLUSION

A comprehensive review of literature suggests that pharmacy involvement has the potential to reduce medication reconciliation errors and may improve patient satisfaction. Focused, full-time medication reconciliation pharmacists can help hospitals save time and money, improve outcomes, and meet higher standards issued by the Joint Commission. Data obtained in this study show the extent to which pharmacists contribute to achieving these goals in healthcare systems nationwide. This baseline study provides a strong case for hospitals to implement a pharmacy-led medication reconciliation program.

摘要

目的

本研究的目的是对相关文献进行综述，评估药学部门在用药核对中的参与情况，并深入探讨医院实施和加强其用药核对计划的最佳实践。

方法

通过美国临床药师学院在线数据库，要求全国医院的药师完成一项匿名调查。多项选择调查分析了医疗保健专业人员在医院用药核对计划中所扮演的角色。

结果

在收到的调查回复中，91份回复中有32份（35%）来自实施由药学部门主导的用药核对计划的医院的药师。在这些由药学部门主导的计划中，32份中有17份（53%）有专门的药师或药学人员进行用药核对。

结论

对文献的全面综述表明，药学部门的参与有可能减少用药核对错误，并可能提高患者满意度。专注的全职用药核对药师可以帮助医院节省时间和金钱，改善治疗效果，并达到联合委员会发布的更高标准。本研究获得的数据显示了药师在全国医疗系统中为实现这些目标所做贡献的程度。这项基线研究为医院实施由药学部门主导的用药核对计划提供了有力依据。