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跨专业学生主导的药物审查团队的临床和教育成果,一项试点研究。

The clinical and educational outcomes of an inter-professional student-led medication review team, a pilot study.

机构信息

Department of Internal Medicine, Section Pharmacotherapy, Amsterdam UMC, location VUmc, Amsterdam, The Netherlands.

Research & Expertise Center In Pharmacotherapy Education (RECIPE), Amsterdam, Netherlands.

出版信息

Eur J Clin Pharmacol. 2021 Jan;77(1):117-123. doi: 10.1007/s00228-020-02972-3. Epub 2020 Aug 8.

DOI:10.1007/s00228-020-02972-3
PMID:32770387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7782385/
Abstract

AIMS

The involvement of an inter-professional healthcare student team in the review of medications used by geriatric patients could not only provide patients with optimized therapy but also provide students with a valuable inter-professional learning experience. We describe and evaluate the clinical and learning outcomes of an inter-professional student-run mediation review program (ISP).

SUBJECT AND METHOD

A variable team consisting of students in medicine, pharmacy, master advanced nursing practice, and master physician assistant reviewed the medication lists of patients attending a specialized geriatric outpatient clinic.

RESULTS

During 32 outpatient visits, 188 medications were reviewed. The students identified 14 medication-related problems, of which 4 were not recognized by healthcare professionals. The ISP team advised 95 medication changes, of which 68 (71.6%) were directly implemented. Students evaluated this pilot program positively and considered it educational (median score 4 out of 5) and thought it would contribute to their future inter-professional relationships.

CONCLUSION

An inter-professional team of healthcare students is an innovative healthcare improvement for (academic) hospitals to increase medication safety. Most formulated advices were directly incorporated in daily practice and could prevent future medication-related harm. The ISP also offers students a first opportunity to work in an inter-professional manner and get insight into the perspectives and qualities of their future colleagues.

摘要

目的

多专业医疗学生团队参与审查老年患者使用的药物不仅可以为患者提供优化的治疗,还可以为学生提供宝贵的跨专业学习体验。我们描述和评估了一个跨专业学生主导的药物审查计划(ISP)的临床和学习结果。

方法

由医学、药学、高级护理实践硕士和医师助理硕士学生组成的可变团队审查了专门老年门诊患者的用药清单。

结果

在 32 次门诊就诊中,审查了 188 种药物。学生发现了 14 个与药物相关的问题,其中 4 个未被医疗保健专业人员识别。ISP 团队建议进行 95 项药物更改,其中 68 项(71.6%)直接实施。学生对该试点项目给予了积极评价,并认为它具有教育意义(中位数得分为 5 分中的 4 分),并认为这将有助于他们未来的跨专业关系。

结论

多专业医疗学生团队是(学术)医院提高药物安全性的创新医疗改进措施。大多数制定的建议直接纳入日常实践,可以防止未来与药物相关的伤害。ISP 还为学生提供了第一次以跨专业的方式工作的机会,并深入了解他们未来同事的观点和素质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32fa/7782385/683166acace8/228_2020_2972_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32fa/7782385/4cb28cf9a2ae/228_2020_2972_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32fa/7782385/683166acace8/228_2020_2972_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32fa/7782385/4cb28cf9a2ae/228_2020_2972_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32fa/7782385/683166acace8/228_2020_2972_Fig2_HTML.jpg

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