Attfield Emma, Swankhuizen Matthew P, Bruchet Nicole, Slavik Richard, Gorman Sean K
, BSc(Pharm), ACPR, is with Fraser Health Pharmacy Services, Surrey, British Columbia.
, BSc(Pharm), PharmD, is with Kootenay Boundary Regional Hospital, Interior Health Pharmacy Services, Trail, British Columbia, and the Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia.
Can J Hosp Pharm. 2018 Mar-Apr;71(2):111-118. Epub 2018 Apr 30.
Pharmacists in the intensive care unit (ICU) provide pharmaceutical care to critically ill patients. Identification and resolution of drug therapy problems improves outcomes for these patients. To maintain continuity of care, pharmacotherapy plans should be transferred to a receiving pharmacist upon discharge of patients from the ICU. No previous studies have addressed the development or evaluation of a systematic, standardized clinical handover tool and process for pharmacists.
To assess pharmacists' satisfaction with and utilization of a pharmacotherapy-specific handover tool and process.
Plan-do-study-act methodology was employed to develop a clinical handover tool and process, which were implemented in a Canadian health authority. For evaluation of the tool and process, a multicentre, online survey questionnaire was distributed to 14 clinical pharmacists in the ICU and ward settings at 5 hospitals between February 15 and April 22, 2016.
Thirteen of the pharmacists completed the survey. All 13 pharmacists (100%) were satisfied with usability; 12 (92%) were satisfied with training, organization, and accuracy of the process; and 11 (85%) were satisfied with completeness and efficiency. Most pharmacists conducted 1 or 2 handovers per week, with each having a duration of 3-5 min. Seven (54%) of the respondents reported that they communicated handovers mostly or exclusively by telephone, and 6 (46%) reported using mostly or exclusively face-to-face communication. However, 6 (46%) reported a preference for face-to-face communication, and 3 (23%) reported a preference for the telephone; the remaining 4 (31%) had no preference for mode of communication.
Respondents were highly satisfied with the handover tool and process. ICU pharmacists appeared more satisfied with the training, organization, and completeness of handover, whereas ward pharmacists appeared more satisfied with the accuracy and efficiency of handover. Workload requirements were minimal, and face-to-face interaction, although slightly less well utilized than the telephone, was the preferred method of communication.
重症监护病房（ICU）的药剂师为重症患者提供药学服务。识别并解决药物治疗问题可改善这些患者的治疗结局。为维持护理的连续性，患者从ICU出院时，药物治疗计划应交接给接收药剂师。此前尚无研究涉及针对药剂师的系统性、标准化临床交接工具及流程的开发或评估。
评估药剂师对药物治疗特定交接工具及流程的满意度和使用情况。
采用计划-实施-研究-改进方法开发临床交接工具及流程，并在加拿大某卫生部门实施。为评估该工具及流程，于2016年2月15日至4月22日向5家医院的ICU及病房的14名临床药剂师发放了多中心在线调查问卷。
13名药剂师完成了调查。所有13名药剂师（100%）对可用性感到满意；12名（92%）对流程的培训、组织及准确性感到满意；11名（85%）对完整性和效率感到满意。大多数药剂师每周进行1或2次交接，每次时长3至5分钟。7名（54%）受访者表示他们主要或仅通过电话进行交接沟通，6名（46%）表示主要或仅使用面对面沟通。然而，6名（46%）表示更喜欢面对面沟通，3名（23%）表示更喜欢电话沟通；其余4名（31%）对沟通方式无偏好。
受访者对交接工具及流程高度满意。ICU药剂师似乎对交接的培训、组织及完整性更满意，而病房药剂师似乎对交接的准确性和效率更满意。工作量要求最低，面对面交流虽比电话使用略少，但仍是首选的沟通方式。
