J Am Pharm Assoc (2003). 2018 Sep-Oct;58(5):547-553. doi: 10.1016/j.japh.2018.05.001. Epub 2018 Jun 28.
To discuss the process of developing pharmacy consult services within a university-affiliated dental clinic. Secondary objectives are to describe the frequency of pharmacy consults provided when comparing the initial to the modified protocol and interventions, over time.
A university-affiliated student-driven dental medicine clinic in the Midwest.
The dental clinic consists of third- and fourth-year dental students who provide dental services and are supervised by dental faculty. Pharmacy consults are prompted due to patient criteria met on the protocol, patient-specific factors, drug information, or other reasons. Pharmacists are present to provide consults directly with dental students or patients.
Since October 2013, pharmacy services have been implemented into a dental clinic. A protocol is established to identify dental patients with high risk medications and medical conditions that may interfere with dental treatment. The initial protocol has been modified to include additional high-risk medications and conditions that the pharmacy team was being consulted for outside the protocol criteria.
A retrospective chart review was completed to evaluate the frequency of use of the original pharmacy protocol and the interventions provided. After the protocol was modified to include additional high-risk criteria, a second chart review was completed to assess changes in frequency of protocol use and interventions provided.
Pharmacists undergo extensive self-learning to understand the dental-related concerns of the high-risk criteria as well as the dental workflow. The original pharmacy protocol accounted for 42.3% (n = 113) of the overall pharmacy consults (n = 267). After protocol modifications, utilization increased to 76.4% (n = 352, total n = 461).
Pharmacists are successfully integrated into a dental medicine clinic to provide services to enhance dental patient care. The approximate 30% increase in the use of the pharmacy consult protocol demonstrated that the modified version was more effective.
讨论在大学附属牙科诊所中开展药学咨询服务的过程。次要目标是描述在初始协议和修改后的协议以及随时间推移的干预措施下，提供药学咨询的频率。
中西部地区的一所大学附属学生驱动的牙科医学诊所。
该牙科诊所由三年级和四年级的牙科学生组成，他们提供牙科服务，并由牙科教师监督。由于满足协议标准、患者具体因素、药物信息或其他原因，会提示进行药学咨询。药剂师在场直接为牙科学生或患者提供咨询。
自 2013 年 10 月以来，药学服务已被纳入牙科诊所。制定了一项协议，以确定可能干扰牙科治疗的高风险药物和医疗条件的牙科患者。初始协议已被修改，以纳入药剂师团队在协议标准之外咨询的其他高风险药物和条件。
完成了回顾性图表审查，以评估原始药学协议的使用频率和提供的干预措施。在协议修改以纳入额外的高风险标准后，完成了第二次图表审查，以评估协议使用频率和提供的干预措施的变化。
药剂师进行广泛的自我学习，以了解高风险标准的与牙科相关的关注点以及牙科工作流程。原始药学协议占总药学咨询（267 次）的 42.3%（n=113）。在协议修改后，利用率增加到 76.4%（n=352，总 n=461）。
药剂师成功地融入牙科医学诊所，以提供服务来增强牙科患者的护理。药学咨询协议使用量增加了约 30%，表明修改后的版本更为有效。
