Lehnbom Elin C, Li Ling, Prgomet Mirela, Lam Wing Y, Westbrook Johanna I
Faculty of Pharmacy, University of Sydney, Sydney.
Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University.
Stud Health Technol Inform. 2016;227:80-6.
How healthcare providers distribute their time can impact on the quality and safety of care delivered, and this has been widely studied in hospitals providing care to adult patients. Children are different to adults and the workflow of healthcare providers in paediatric settings is largely unknown. The aim of this study was to quantify how clinical pharmacists working in a paediatric hospital spend their time. A direct observational time and motion study was conducted where two independent observers shadowed seven pharmacists covering eight wards for over 60 hours. Pharmacists spent the majority of time performing medication review (32.6%), followed by communication, non-clinical tasks, supply, medication discussion and in-transit. They were interrupted 3.5 times per hour and spent 4.4% of observed time multi-tasking. This is the first study to quantify how pharmacists in a paediatric hospital distribute their time. These results could act as useful baseline data against which to measure the impact of innovations, such as electronic medication management systems, on pharmacists' workflow.
医疗服务提供者如何分配他们的时间会影响所提供护理的质量和安全性，这一点在为成年患者提供护理的医院中已得到广泛研究。儿童与成人不同，儿科环境中医护人员的工作流程很大程度上尚不为人所知。本研究的目的是量化在一家儿科医院工作的临床药剂师如何分配他们的时间。开展了一项直接观察性的时间和动作研究，两名独立观察员跟踪观察了七名药剂师，覆盖八个病房，时长超过60小时。药剂师大部分时间用于进行用药审查（32.6%），其次是沟通、非临床任务、供应、用药讨论和途中时间。他们每小时被打断3.5次，且在观察时间中有4.4%的时间同时处理多项任务。这是第一项量化儿科医院药剂师如何分配时间的研究。这些结果可作为有用的基线数据，用以衡量诸如电子药物管理系统等创新对药剂师工作流程的影响。
