Wright David John, Twigg Michael James
School of Pharmacy, University of East Anglia, Norwich, UK.
Integr Pharm Res Pract. 2016 Mar 7;5:19-25. doi: 10.2147/IPRP.S83261. eCollection 2016.
As community pharmacy services become more patient centered, they will be increasingly reliant on access to good quality patient information. This review describes how the information that is currently available in community pharmacies can be used to enhance service delivery and patient care. With integration of community pharmacy and medical practice records on the horizon, the opportunities this will provide are also considered. The community pharmacy held patient medication record, which is the central information repository and has been used to identify non-adherence, prompts the pharmacist to clinically review prescriptions, identify patients for additional services, and identify those patients at greater risk of adverse drug events. While active recording of patient consultations for treatment over the counter may improve the quality of consultations and information held, the lost benefits of anonymity afforded by community pharmacies need to be considered. Recording of pharmacy staff activities enables the workload to be monitored, remuneration to be justified, critical incidents to be learned from, but is not routine practice. Centralization of records between community pharmacies enables practices to be compared and consistent problems to be identified. By integrating pharmacy and medical practice records, patient behavior with respect to medicines can be more closely monitored and should prevent duplication of effort. When using patient information stored in a community pharmacy, it is, however, important to consider the reason why the information was recorded in the first instance and whether it is appropriate to use it for a different purpose without additional patient consent. Currently, community pharmacies have access to large amounts of information, which, if stored and used appropriately, can significantly enhance the quality of provided services and patient care. Integrating the records increases opportunities to enhance patient care yet further. While community pharmacies have significant amounts of information available to them, this is frequently untapped.
随着社区药房服务越来越以患者为中心，它们将越来越依赖于获取高质量的患者信息。本综述描述了社区药房目前可用的信息如何用于改善服务提供和患者护理。随着社区药房与医疗实践记录的整合即将实现，也对其将带来的机遇进行了考量。社区药房保存的患者用药记录是核心信息库，已被用于识别用药依从性差的情况，促使药剂师对处方进行临床审查，确定需要额外服务的患者，并识别那些发生药物不良事件风险更高的患者。虽然积极记录非处方治疗的患者咨询可能会提高咨询质量和所掌握的信息，但需要考虑社区药房所提供的匿名性丧失的问题。记录药房工作人员的活动能够监测工作量、证明薪酬合理性、吸取重大事件的教训，但这并非常规做法。社区药房之间记录的集中化能够比较不同做法并识别出一致存在的问题。通过整合药房和医疗实践记录，可以更密切地监测患者在用药方面的行为，并应避免工作的重复。然而，在使用社区药房存储的患者信息时，重要的是要考虑最初记录该信息的原因，以及在未经患者额外同意的情况下将其用于不同目的是否合适。目前，社区药房能够获取大量信息，如果这些信息得到妥善存储和使用，可显著提高所提供服务和患者护理的质量。整合记录进一步增加了改善患者护理的机会。虽然社区药房掌握着大量可用信息，但这些信息往往未得到利用。
