Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA; Legacy Good Samaritan Medical Center, Pharmacy Department, 1015 NW 22nd Ave, Portland, OR, 97210, USA.
Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA; Oregon State University, College of Pharmacy, 203 Pharmacy Bldg, Corvallis, OR, 97331, USA.
Res Social Adm Pharm. 2018 Jul;14(7):695-699. doi: 10.1016/j.sapharm.2017.08.005. Epub 2017 Aug 19.
Transitioning activities that do not require clinical judgment from pharmacists to pharmacy technicians has been endorsed as a strategy to increase patient access to clinical pharmacy services. One role becoming increasingly common is using pharmacy technicians to collect the medication history within medication reconciliation processes.
To assess the ability of pharmacy technicians to gather a complete and accurate medication history during the inpatient admission process at a regional medical center.
Prospective study of unscheduled inpatient admissions at Salem Hospital. Patients where the initial information source was patient or caregiver interview, had two medication histories collected - one by a pharmacy technician through usual care processes and one by a student pharmacist with pharmacist oversight. Medication histories were then compared and a percent accuracy ranging from 0 - 100% was calculated for each of the pharmacy technician-collected histories.
A total of 101 patients were included from January 19 to March 6, 2016. Patients were on average 65 ± 19 years of age and taking 7 ± 6 medications at admission. The accuracy of the technician collected histories was 92.9 ± 14.2%. Accuracy was not impacted by age, number of medications, or admitting shift (all p > 0.05).
Pharmacy technicians can collect complete and accurate medication histories. Results add to the growing body of literature supporting an expanded role for pharmacy technicians in medication reconciliation processes.
将不需要临床判断的药剂师活动转移到药剂技术员身上，已被认可为增加患者获得临床药学服务的一种策略。一个越来越常见的角色是利用药剂技术员在药物重整过程中收集用药史。
评估药剂技术员在地区医疗中心的住院患者入院过程中收集完整和准确用药史的能力。
在塞勒姆医院进行的一项未计划的住院患者前瞻性研究。最初的信息来源是患者或护理人员访谈的患者，收集了两份用药史——一份由药剂技术员通过常规护理流程收集，一份由药师监督下的学生药剂师收集。然后对用药史进行比较，并计算每个药剂技术员收集的用药史的准确性百分比，范围从 0-100%。
2016 年 1 月 19 日至 3 月 6 日期间共纳入 101 名患者。患者平均年龄为 65±19 岁，入院时服用 7±6 种药物。技术员收集的病史的准确性为 92.9±14.2%。准确性不受年龄、用药数量或入院班次（均 p>0.05）的影响。
药剂技术员可以收集完整和准确的用药史。研究结果为支持药剂技术员在药物重整过程中扩大作用的不断增长的文献提供了补充。
