Hahn Martina, Ritter Christoph, Roll Sibylle C
Psychiatric Hospital, Vitos Klinik Eichberg, Kloster-Eberbach-Str. 4, 65346, Eltville, Germany.
Institut für Pharmazie, Klinische Pharmazie, Ernst Moritz, Arndt Universität Greifswald, Friedrich-Ludwig-Jahn-Straße 17, 17487, Greifswald, Germany.
Int J Clin Pharm. 2018 Oct;40(5):1001-1004. doi: 10.1007/s11096-018-0664-2. Epub 2018 May 23.
Background Collaboration between physicians and pharmacists can increase medication safety. In the "Eichberger model" a clinical pharmacist is employed and working full time in a psychiatric hospital. Objective The aim of this study was to determine the expected type of expertise from a clinical pharmacist in psychiatry and the acceptance of the pharmacist's recommendations. Method All email requests to the clinical pharmacist from January 1st to April 30th 2015 were screened retrospectively and type of requester and content of request were extracted. Maintenance rate of drug therapy was analyzed by reviewing patient charts 2 weeks after medication prescription. Results A total of 147 requests were included. 85 (57.8%) requests were from attending physicians and 62 (42.2%) from residents. 82.1% of all physicians were contacting the clinical pharmacist during the study period. Most common reasons for requests were: appropriate drug selection (31.3%), drug interactions (25.2%), possible adverse drug events (17%) and switching drugs (12.2%). The acceptance rate by the physicians was 100%, with an implementation and maintenance rate of both 98.6%. Conclusion We found a high acceptance level of the pharmacist's recommendations. The pharmacist's skills were requested by the majority of physicians and included a in a large variety of specific questions. A pharmacist can play an important role to optimize patient care in collaboration with the physician in psychiatry.
背景 医生与药剂师之间的合作可提高用药安全性。在“艾希贝格尔模式”中，会聘请一名临床药剂师并让其在一家精神病医院全职工作。目的 本研究的目的是确定对精神病学临床药剂师专业技能的期望类型以及医生对药剂师建议的接受程度。方法 对2015年1月1日至4月30日期间发给临床药剂师的所有电子邮件请求进行回顾性筛选，并提取请求者类型和请求内容。通过在药物处方后2周查阅患者病历分析药物治疗的维持率。结果 共纳入147项请求。85项（57.8%）请求来自主治医师，62项（42.2%）来自住院医师。在研究期间，82.1%的医生都联系过临床药剂师。请求的最常见原因是：合理选药（31.3%）、药物相互作用（25.2%）、可能的药物不良事件（17%）和换药（12.2%）。医生的接受率为100%，实施率和维持率均为98.6%。结论 我们发现医生对药剂师建议的接受程度很高。大多数医生都需要药剂师的技能，这些技能涵盖了各种各样的具体问题。在精神病学领域，药剂师与医生合作可为优化患者护理发挥重要作用。
