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医疗专业人员常问的问题:一家医疗中心进行的为期两年的数据调查。

Questions Frequently Asked of Healthcare Professionals: A 2-Year Data Survey Conducted at a Medical Center.

机构信息

Department of Pharmacy, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Department of Emergency, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Biomed Res Int. 2018 Feb 14;2018:4895850. doi: 10.1155/2018/4895850. eCollection 2018.

Abstract

In this descriptive, retrospective study, we analyzed the types of questions posed by healthcare professionals to drug counselors at a medical center and the types of provision of pharmaceutical advice solicited to improve pharmaceutical care quality and establish clear directions for clinical pharmacist training. We collected 8,558 questions posed by healthcare professionals (physicians, 38%; pharmacists, 39%; nurses, 23%) from the electronic drug information record system from May 2013 to April 2015 in one medical center. Overall, 52% and 45% of calls came from outpatient and inpatient departments, respectively. Telephone was the main route of provision of pharmaceutical advice (total, 6,035 questions; 72%), and hospital/electronic formulary was the main reference type (43%). The top 10 topics were dosage, alternatives, drug name, usage, adverse drug reactions, medication suggestion, drug compatibility, national health insurance criteria, mechanism, and indications. Pharmacological classification inquiries most frequently addressed antimicrobial agents (20%), and vancomycin was the top single drug. Finally, 67% of calls were completed in 5 minutes. Our results suggest that the systematic organization of issues into a searchable database would reduce inquiry durations and improve work efficiency. Furthermore, the availability of various search tools and methods would quickly provide healthcare professionals with provision of drug information needed to improve patient medication safety.

摘要

在这项描述性、回顾性研究中,我们分析了医疗中心的医疗保健专业人员向药物顾问提出的问题类型,以及征求的药物咨询类型,以提高药物治疗质量,并为临床药师培训确立明确方向。我们从一家医疗中心的电子药物信息记录系统中收集了 2013 年 5 月至 2015 年 4 月期间医疗保健专业人员(医生,38%;药剂师,39%;护士,23%)提出的 8558 个问题。总体而言,52%和 45%的来电分别来自门诊和住院部门。电话是提供药物咨询的主要途径(共 6035 个问题;72%),医院/电子处方集是主要的参考类型(43%)。排名前十的主题是剂量、替代品、药物名称、用法、不良反应、药物建议、药物相容性、国家健康保险标准、机制和适应症。药物分类查询最常涉及抗生素(20%),万古霉素是排名第一的单一药物。最后,67%的电话在 5 分钟内完成。我们的研究结果表明,将问题系统地组织到可搜索的数据库中可以减少查询时间,提高工作效率。此外,各种搜索工具和方法的可用性将为医疗保健专业人员快速提供提高患者用药安全性所需的药物信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4248/5832073/6c24b1c24f01/BMRI2018-4895850.001.jpg

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