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门诊精神病学中的协作护理:对精神科药剂师会诊的内容分析

Collaborative Care in Ambulatory Psychiatry: Content Analysis of Consultations to a Psychiatric Pharmacist.

作者信息

Gotlib Dorothy, Bostwick Jolene R, Calip Seema, Perelstein Elizabeth, Kurlander Jacob E, Fluent Thomas

机构信息

Drs. Gotlib, MD, Calip, MD, and Fluent, MD, Michigan Medicine, Department of Psychiatry, Ann Arbor, MI. Dr. Bostwick, PharmD, BCPS, BCPP, University of Michigan College of Pharmacy, Ann Arbor, MI. Dr. Perelstein, BS, Washington St. Louis School of Medicine, Department of Neurology, St. Louis, Missouri. Dr. Kurlander, MD, MS, Michigan Medicine, Division of Gastroenterology, Ann Arbor, MI.

出版信息

Psychopharmacol Bull. 2017 Sep 15;47(4):41-46.

PMID:28936009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5601088/
Abstract

OBJECTIVES

To determine the volume and nature (or topic) of consultations submitted to a psychiatric pharmacist embedded in an ambulatory psychiatry clinic, within a tertiary care academic medical center and to increase our understanding about the ways in which providers consult with an available psychiatric pharmacist.

EXPERIMENTAL DESIGN

Authors analyze and describe the ambulatory psychiatric pharmacist consultation log at an academic ambulatory clinic. All consultation questions were submitted between July 2012 and October 2014.

PRINCIPAL OBSERVATIONS

Psychiatry residents, attending physicians, and advanced practice nurse practitioners submitted 280 primary questions. The most common consultation questions from providers consulted were related to drug-drug interactions (n =70), drug formulations/dosing (n =48), adverse effects (n =43), and pharmacokinetics/lab monitoring/cross-tapering (n =36).

CONCLUSIONS

This is a preliminary analysis that provides information about how psychiatry residents, attending physicians, and advanced practice nurse practitioners at our health system utilize a psychiatric pharmacist. This collaborative relationship may have implications for the future of psychiatric care delivery.

摘要

目的

确定提交给一家三级医疗学术中心门诊精神科诊所的精神科药剂师的会诊数量及性质(或主题),并增进我们对医疗服务提供者与现有的精神科药剂师进行会诊方式的了解。

实验设计

作者分析并描述了一家学术门诊诊所的门诊精神科药剂师会诊记录。所有会诊问题均在2012年7月至2014年10月期间提交。

主要观察结果

精神科住院医师、主治医师和高级执业护士提交了280个主要问题。会诊的医疗服务提供者最常见的会诊问题与药物相互作用(n = 70)、药物剂型/剂量(n = 48)、不良反应(n = 43)以及药代动力学/实验室监测/交叉减药(n = 36)有关。

结论

这是一项初步分析,提供了有关我们医疗系统中的精神科住院医师、主治医师和高级执业护士如何利用精神科药剂师的信息。这种合作关系可能会对未来的精神科护理服务产生影响。

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