英国国民医疗服务体系（NHS）中随叫随到的医院药房服务：药品咨询电话的服务提供与记录

On-call hospital pharmacy services in NHS England: service provision and documentation of medicines advice calls.

作者信息

Cheeseman Mark P, Rutter Paul

机构信息

Faculty of Science and Engineering, School of Pharmacy, University of Wolverhampton, Wolverhampton, UK.

出版信息

Eur J Hosp Pharm. 2016 Jan;23(1):11-15. doi: 10.1136/ejhpharm-2015-000679. Epub 2015 Jun 18.

DOI:10.1136/ejhpharm-2015-000679

PMID:31156808

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6451588/

Abstract

OBJECTIVES

UK hospital pharmacy services have historically been delivered during typical 'office' hours, which include the provision of medicines advice via the pharmacy's medicines information department. Outside office hours, an on-call service operates whereby pharmacists handle requests for medicine supply and advice. It is not known how this out-of-hours service operates. The aim of this study was to quantify the extent and scope of its provision across England.

METHODS

A piloted self-administered survey was sent to every chief pharmacist in England representing acute hospitals and mental health trusts (n=218).

KEY FINDINGS

Just over half (n=116/218, 53.2%) of chief pharmacists returned a completed survey. Most hospitals provided an on-call pharmacy service (87.1%, n=101/116). Nearly all on-call pharmacy services (91.1%, n=92/101) provided both supply of medication and medicines advice. Two-thirds (66.2%) of pharmacists who provided on-call services were junior. The majority of trusts (83.1%, n=74/89) receive <20 calls for medicines advice per week. Hospital nurses/midwives were seen as the most common users of the on-call pharmacy service. Medicines advice was documented by on-call pharmacists all (49.5%, n=47/95) or some of the time (49.5%, n=47/95). Just under half of trusts (41.1%, n=39/95) had a standard policy for the documentation of medicines advice. Two-thirds (66.7%, n=62/93) of respondents stated that advice was documented using paper-based forms. Most trusts (81.1%, n=77/95) provided training prior to pharmacists being on-call, with medicines information pharmacists involved in nearly 80% of cases (n=61/77) (respondents could select more than one option).

CONCLUSIONS

Medicines advice is an integral part of the pharmacy on-call service, which was provided by junior staff. Variability existed in resourcing the service across trusts. In addition to existing standards for documentation of medicines advice, professional standards should be developed for on-call hospital pharmacy service provision and training.

摘要

目标

英国医院药房服务传统上是在典型的“办公”时间提供，其中包括通过药房的药品信息部门提供用药建议。在办公时间之外，设有随叫随到服务，药剂师负责处理药品供应和用药建议请求。目前尚不清楚这种非工作时间服务是如何运作的。本研究的目的是量化其在英格兰各地的提供范围和规模。

方法

向代表急症医院和精神健康信托机构的英格兰每位主任药剂师发送了一份经过试点的自填式调查问卷（n = 218）。

主要发现

略多于一半（n = 116/218，53.2%）的主任药剂师返回了完整的调查问卷。大多数医院提供随叫随到的药房服务（87.1%，n = 101/116）。几乎所有随叫随到的药房服务（91.15%，n = 92/101）都提供药品供应和用药建议。提供随叫随到服务的药剂师中有三分之二（66.2%）是初级药剂师。大多数信托机构（83.1%，n = 74/89）每周接到的用药建议电话不到20个。医院护士/助产士被视为随叫随到药房服务最常见的使用者。随叫随到的药剂师全部（49.5%，n = 47/95）或部分时间（49.5%，n = 47/95）记录用药建议。不到一半的信托机构（41.1%，n = 39/95）有记录用药建议的标准政策。三分之二（66.7%，n = 62/93）的受访者表示，建议是使用纸质表格记录的。大多数信托机构（81.1%，n = 77/95）在药剂师随叫随到之前提供培训，近80%的情况（n = 61/77）有药品信息药剂师参与（受访者可以选择多个选项）。