KU Leuven, Department of Pharmaceutical and Pharmacological Sciences, 3000, Leuven, Belgium.
KU Leuven, Department Public Health and Primary Care, 3000, Leuven, Belgium.
Res Social Adm Pharm. 2020 Feb;16(2):168-177. doi: 10.1016/j.sapharm.2019.04.049. Epub 2019 Apr 25.
The potential benefit of community pharmacist's involvement in continuity of care is well-known. However, it is not standard practice to exchange information with the community pharmacist (CP) after hospitalization.
To construct and validate an evidence-based prototype of a discharge report for the community pharmacist.
First, a review of literature, guidelines and established initiatives was performed to construct a preliminary discharge report. Secondly, the content of the discharge report was reviewed and optimized using semi-structured individual interviews with CPs and general practitioners (GPs).
The review identified six guidelines for information exchange with the CP originating from three countries, 17 research papers and three local initiatives. Overall, 49 different elements for a discharge document were identified. Based on recurring elements, a preliminary discharge report was created. Interviews with ten CPs and nine GPs provided insights into which information is considered crucial for patient safety and why. This allowed an optimization of the document. The final discharge report consists of three categories: administrative, medication and medical data. The medication data includes medication registered at hospital admission as well as at hospital discharge, drug indications, reasons for initiating, adjusting or discontinuing therapies and start/stop dates. The medical data contains reasons for hospitalization, comorbidities and allergies.
The literature review and semi-structured interviews resulted in an evidence-based prototype of a discharge report for the community pharmacist. This document contains both administrative, medical and medication data.
社区药剂师参与连续性护理的潜在益处是众所周知的。然而，在住院后与社区药剂师（CP）交换信息并不是标准做法。
构建和验证社区药剂师出院报告的循证原型。
首先，对文献、指南和既定举措进行了回顾，以构建初步的出院报告。其次，使用与社区药剂师和全科医生（GP）进行的半结构化个体访谈，对出院报告的内容进行了回顾和优化。
综述确定了来自三个国家的与 CP 进行信息交换的六条指南、17 篇研究论文和三项地方举措。总体而言，确定了 49 个不同的出院文件要素。基于反复出现的要素，创建了初步的出院报告。对 10 名社区药剂师和 9 名全科医生的访谈提供了有关哪些信息被认为对患者安全至关重要以及原因的见解。这允许对文件进行优化。最终的出院报告分为三类：行政、药物和医疗数据。药物数据包括入院时和出院时登记的药物、药物适应症、开始、调整或停止治疗的原因以及开始/停止日期。医疗数据包含住院原因、合并症和过敏症。
文献综述和半结构化访谈产生了社区药剂师出院报告的循证原型。该文件包含行政、医疗和药物数据。
