J Am Pharm Assoc (2003). 2019 Jan-Feb;59(1):79-86.e1. doi: 10.1016/j.japh.2018.09.006. Epub 2018 Nov 13.
To describe the Pharmacy Communication Partnership (PROMPT) program's approach to improving medication management for patients during transitions from hospital to the community.
Two general internal medicine units within a multisite academic hospital in Canada.
Designed by an interprofessional working group, PROMPT uses evidence-informed approaches to facilitate communication between pharmacists in different settings: faxing of the discharge prescription and medical discharge summary to a patient's community pharmacy, followed by a telephone call to the community pharmacist.
A multimethod cross-sectional study used telephone surveys and retrospective chart reviews to describe: 1) the characteristics of patients that hospital pharmacists thought would benefit from PROMPT and the community pharmacies that served them; 2) the number and nature of communication attempts made by community and hospital pharmacists; and 3) community pharmacists' views about PROMPT's potential impact on continuity of care and potential program enhancements.
A convenience sample of 100 patients (median age 77 years, interquartile range 66 to 83) who received care from 86 pharmacies were used to evaluate the program. The majority of community pharmacists participating in the surveys considered the intervention to be helpful. Of the 53.7% (n = 44/82) community pharmacists who received discharge summaries, 93.2% (n = 41/44) found the summaries to be useful. Themes arising from community pharmacists' comments were categorized into 3 topics: 1) the benefits of PROMPT; 2) topics of discussion and clarification during telephone calls with hospital pharmacists; and 3) future program improvements.
Community pharmacists described PROMPT as a time-efficient and helpful bridge linking community pharmacy to hospital inpatient care. Opportunities for future research include determining the characteristics of patients who may benefit most from PROMPT, determining the optimal components of discharge information needed by community pharmacists to enhance medication management, and evaluating whether follow-up telephone calls from the hospital to community pharmacists are necessary for all patients.
描述 Pharmacy Communication Partnership (PROMPT) 计划在患者从医院过渡到社区时改善药物管理的方法。
加拿大一家多地点学术医院的两个综合内科病房。
PROMPT 由一个跨专业工作组设计，采用循证方法促进不同环境下药剂师之间的沟通：将出院处方和医疗出院摘要传真给患者的社区药房，然后给社区药剂师打电话。
一项采用电话调查和回顾性图表审查的多方法横断面研究，用于描述：1）医院药剂师认为从 PROMPT 中受益的患者和为其提供服务的社区药房的特征；2）社区和医院药剂师进行的沟通尝试的数量和性质；3）社区药剂师对 PROMPT 对连续性护理的潜在影响和潜在计划增强的看法。
使用便利抽样法对 100 名患者（中位数年龄 77 岁，四分位距 66 至 83）和 86 家药房进行了评估，以评估该计划。大多数参与调查的社区药剂师认为该干预措施很有帮助。在收到出院总结的 82 名社区药剂师中，有 93.2%（44/44）认为总结有用。社区药剂师的评论中出现的主题分为 3 个主题：1）PROMPT 的好处；2）与医院药剂师电话交谈时的讨论和澄清主题；3）未来计划改进。
社区药剂师将 PROMPT 描述为连接社区药房和医院住院护理的高效且有益的桥梁。未来研究的机会包括确定最有可能从 PROMPT 中受益的患者特征，确定社区药剂师需要增强药物管理的出院信息的最佳组成部分，以及评估是否需要对所有患者进行医院到社区药剂师的后续电话随访。
