药剂技术员与急诊科护士获取用药史的比较。

A Comparison of Medication Histories Obtained by a Pharmacy Technician Versus Nurses in the Emergency Department.

作者信息

Markovic Marija, Mathis A Scott, Ghin Hoytin Lee, Gardiner Michelle, Fahim Germin

出版信息

P T. 2017 Jan;42(1):41-46.

PMID:28090164

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5215278/

Abstract

PURPOSE

To compare the medication history error rate of the emergency department (ED) pharmacy technician with that of nursing staff and to describe the workflow environment.

METHODS

Fifty medication histories performed by an ED nurse followed by the pharmacy technician were evaluated for discrepancies (RN-PT group). A separate 50 medication histories performed by the pharmacy technician and observed with necessary intervention by the ED pharmacist were evaluated for discrepancies (PT-RPh group). Discrepancies were totaled and categorized by type of error and therapeutic category of the medication. The workflow description was obtained by observation and staff interview.

RESULTS

A total of 474 medications in the RN-PT group and 521 in the PT-RPh group were evaluated. Nurses made at least one error in all 50 medication histories (100%), compared to 18 medication histories for the pharmacy technician (36%). In the RN-PT group, 408 medications had at least one error, corresponding to an accuracy rate of 14% for nurses. In the PT-RPh group, 30 medications had an error, corresponding to an accuracy rate of 94.4% for the pharmacy technician ( < 0.0001). The most common error made by nurses was a missing medication (n = 109), while the most common error for the pharmacy technician was a wrong medication frequency (n = 19). The most common drug class with documented errors for ED nurses was cardiovascular medications (n = 100), while the pharmacy technician made the most errors in gastrointestinal medications (n = 11).

CONCLUSION

Medication histories obtained by the pharmacy technician were significantly more accurate than those obtained by nurses in the emergency department.

摘要

目的

比较急诊科（ED）药房技术人员与护理人员的用药史错误率，并描述工作流程环境。

方法

对50份由急诊科护士完成后由药房技术人员检查的用药史进行差异评估（RN-PT组）。对另外50份由药房技术人员完成并由急诊科药剂师进行必要干预观察的用药史进行差异评估（PT-RPh组）。将差异汇总，并按错误类型和药物治疗类别进行分类。通过观察和员工访谈获取工作流程描述。

结果

RN-PT组共评估了474种药物，PT-RPh组共评估了521种药物。护士在所有50份用药史中均至少出现1次错误（100%），而药房技术人员出现错误的有18份用药史（36%）。在RN-PT组中，408种药物至少有1次错误，护士的准确率为14%。在PT-RPh组中，有30种药物出现错误，药房技术人员的准确率为94.4%（<0.0001）。护士最常见的错误是漏记药物（n=109），而药房技术人员最常见的错误是用药频率错误（n=19）。急诊科护士记录有错误的最常见药物类别是心血管药物（n=100），而药房技术人员在胃肠道药物方面出现的错误最多（n=11）。