Ferguson Chelsea L, Ferrell Sarah, Kovey Karen, Young Joanna, Trovinger Sara
J Pediatr Pharmacol Ther. 2020 Jan-Feb;25(1):25-30. doi: 10.5863/1551-6776-25.1.25.
This study aimed to implement a web-based pediatric education program designed for pharmacists who participate in neonatal and pediatric order verification at a community-based health system and to evaluate the success through measuring outcomes related to both comfort and competence of pharmacists in pediatric and neonatal pharmacotherapy.
This prospective quality improvement study assessed changes in confidence and competence from before to after education. Eight educational modules were designed to provide education based on the needs of this institution. All pharmacists who participate in neonatal and pediatric order verification were eligible for inclusion throughout the health system. Time in the verification queue for pediatric and neonatal medication orders was compared for before to after education as an objective surrogate marker for comfort and competence. A provider survey was conducted before and after education to assess the providers' perspective of the quality and necessity of pharmacist-provider interactions.
All confidence scores showed statistical improvement from before to after education (p < 0.001). Before to after education competency scores significantly improved (median 77% [IQR, 69%-85%] to 100% [IQR, 92%-100%]; p < 0.01). The module with the lowest mean score (87%) was module 4 (Antibiotics Part 1), and the one with highest number of retakes (24 retakes from 16 different pharmacists) was module 5 (Antibiotics Part 2).
Targeted web-based education effectively improved both confidence and competence among health-system pharmacists to provide pediatric and neonatal care in a community hospital.
本研究旨在实施一项基于网络的儿科教育项目,该项目专为在社区卫生系统参与新生儿和儿科医嘱核查的药剂师设计,并通过衡量与药剂师在儿科和新生儿药物治疗方面的舒适度和能力相关的结果来评估其成效。
这项前瞻性质量改进研究评估了教育前后信心和能力的变化。根据该机构的需求设计了八个教育模块。在整个卫生系统中,所有参与新生儿和儿科医嘱核查的药剂师均符合纳入条件。将教育前后儿科和新生儿用药医嘱的核查队列时间进行比较,作为舒适度和能力的客观替代指标。在教育前后进行了一项提供者调查,以评估提供者对药剂师与提供者互动的质量和必要性的看法。
所有信心得分在教育前后均显示出统计学上的改善(p < 0.001)。教育前后能力得分显著提高(中位数从77%[四分位间距,69%-85%]提高到100%[四分位间距,92%-100%];p < 0.01)。平均得分最低(87%)的模块是模块4(抗生素第1部分),重考次数最多(16名不同药剂师重考24次)的模块是模块5(抗生素第2部分)。
有针对性的基于网络的教育有效地提高了卫生系统药剂师在社区医院提供儿科和新生儿护理的信心和能力。