Via Christi Hospitals Wichita, Inc., Wichita, KS.
Am J Health Syst Pharm. 2019 Mar 19;76(7):470-477. doi: 10.1093/ajhp/zxy082.
The development and implementation of a team-based pharmacy practice model is described.
In January 2016 a transition from a staff-specialist to a team-based pharmacy practice model was implemented. The overall goal of the model change was to enhance the pharmacist's clinical roles and further integrate pharmacists into the healthcare team. Before implementation of the new staffing model, a formalized metric evaluation process was created. The aim of this metric evaluation was to gauge model success, determine areas of model revision, and objectively communicate pharmacist impact. Objective metrics were evaluated before implementation and 1 year after implementation. In addition, surveys were distributed to pharmacists, physicians, nursing and hospital administration before and after model implementation.
At 1-year postimplementation, the pharmacist:patient bed ratio decreased from 1:87 to 1:47, the number of rounds/huddles with pharmacist attendance increased by 63% to 80 per week, and the number of clinical interventions and new clinical consultations increased from 57 to 62 and from 12 to 16 per day, respectively. Nonformulary medication use also decreased from 1.77 to 0.623 per 1000 patient days, and compliance with therapeutic initiatives increased from 77%to 91%. Overall, 72% of pharmacist survey responses indicated satisfaction with the model change.
A team-based pharmacy practice model was designed and successfully implemented over a 3-year period. Data analysis revealed improvements in clinical and operational endpoints and enhanced pharmacist, physician, and nursing satisfaction.
描述了一种基于团队的药学实践模式的发展和实施。
2016 年 1 月，从药师专家模式转变为基于团队的药学实践模式。该模式转变的总体目标是增强药师的临床角色，并进一步将药师融入医疗团队。在实施新的人员配备模式之前，创建了一个正式的指标评估流程。该指标评估旨在衡量模型的成功，确定模型修订的领域，并客观地传达药师的影响。在实施前和实施后 1 年评估客观指标。此外，在实施前后向药剂师、医生、护理和医院管理部门分发了调查。
实施后 1 年，药师与患者的床位数比例从 1:87 降至 1:47，有药师参与的查房/交接班次数增加了 63%，达到每周 80 次，每天的临床干预和新的临床咨询分别增加了 57%和 62%。非处方用药的使用也从每千名患者天 1.77 降至 0.623，治疗方案的依从性从 77%提高到 91%。总体而言，72%的药师调查回复表示对模式改变感到满意。
在 3 年的时间里，成功设计并实施了基于团队的药学实践模式。数据分析显示临床和运营指标的改善，以及药师、医生和护理满意度的提高。
