Nguyen Jessica T V, Ziser Kate E D, Penm Jonathan, Schneider Carl R
The University of Sydney School of Pharmacy, Faculty of Medicine and Health, Pharmacy and Bank Building A15, The University of Sydney, Camperdown, NSW, 2006, Australia.
Department of Pharmacy, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW, 2065, Australia.
Int J Clin Pharm. 2019 Apr;41(2):445-451. doi: 10.1007/s11096-019-00801-x. Epub 2019 Mar 12.
Background There is increasing recognition for the role of pharmacy technicians in obtaining medication histories and performing administrative tasks which may represent an opportunity cost when completed by pharmacists. Technician-enhanced teams can therefore improve hospital clinical pharmacy services. In Australian hospitals, medication reconciliation and reviews can be documented in Medication Management Plans (MMPs) upon admission. Thus, MMPs can be used as feasible measures of the efficiency of pharmacy teams. Objective To quantify the impact of a technician-enhanced clinical pharmacy model on medication reconciliation and timeliness of pharmacist tasks. Setting 480-bed tertiary teaching hospital in New South Wales. Method The effect of a technician working alongside the geriatric pharmacist in a single hospital was evaluated. Outcomes were measured throughout two 4-week periods pre- and post-implementation for patients under the supervision of a geriatrician who were discharged during usual business hours. Data were collected by the supervising pharmacist. Main outcome measure Primary outcomes were the number of MMPs completed daily on average and during admission, as well as the timeliness of updating discharge summaries, medication histories and MMPs. Results The mean number of daily MMPs significantly increased from 2.25 to 4.90 with the technician (p < 0.001, 95% CI 1.66 to 3.64). The median time to update discharge summary significantly decreased from 6:48 to 2:33 h (p = 0.01). Conclusion This study suggested that technician-enhanced teams could improve the efficiency of clinical pharmacy services in an Australian hospital.
背景 药剂师在获取用药史和执行行政任务方面所发挥的作用日益得到认可，这些任务若由药剂师完成可能会产生机会成本。因此，由技术人员强化的团队可以改善医院临床药学服务。在澳大利亚的医院，入院时可在用药管理计划（MMPs）中记录用药核对和审查情况。因此，MMPs可作为衡量药学团队效率的可行指标。目的 量化技术人员强化的临床药学模式对用药核对及药剂师任务及时性的影响。地点 新南威尔士州一家拥有480张床位的三级教学医院。方法 评估了一名技术人员与老年病药剂师在一家医院协同工作的效果。在实施前后的两个为期4周的时间段内，对在老年病专家监督下、在正常工作时间出院的患者的结果进行了测量。数据由监督药剂师收集。主要结局指标 主要结局指标包括平均每日及入院期间完成的MMPs数量，以及更新出院小结、用药史和MMPs的及时性。结果 有技术人员参与时，每日MMPs的平均数从2.25显著增加至4.90（p < 0.001，95%CI 1.66至3.64）。更新出院小结的中位时间从6:48显著缩短至2:33小时（p = 0.01）。结论 本研究表明，由技术人员强化的团队可以提高澳大利亚一家医院临床药学服务的效率。
