药房电子咨询在患者病历中的实施。
Implementation of a pharmacy e-interconsultation integrated in patient medical record.
机构信息
Pharmacy Department, Hospital de Urduliz Alfredo Espinosa, Urduliz, Biscay, Spain
Pharmacy Department, Hospital de Urduliz Alfredo Espinosa, Urduliz, Biscay, Spain.
出版信息
Eur J Hosp Pharm. 2021 Nov;28(Suppl 2):e124-e127. doi: 10.1136/ejhpharm-2020-002224. Epub 2020 Nov 16.
OBJECTIVE
To describe the phases of development and the success of implementation of the pharmacist non-face-to-face consultation in primary and hospital setting.
METHOD
A descriptive and retrospective study was conducted to implement pharmacist non-face-to-face consultation with the clinician, integrated in the patient medical record. A working group was created to define content of the consultation, time of answer and the pharmacist appointment schedule integrated in the patient record. The number and type of consultations and pharmacist documentations were measure during the study period.
RESULTS
530 non-face-to-face consultations were collected from April 2018 to September 2019, principally from hospital setting, but also from primary care. The main motive of consultation was high cost drugs application. The pharmacist documentations in medical record increased after non-face-to-face consultation implementation from 98 in the prior period to 375 afterwards. As a conclusion, pharmacist non-face-to-face consultation has been successfully implemented in our health area, enhancing pharmacist presence in patient medical record and improving the communication between the pharmacists and the physicians.
目的
描述初级保健和医院环境中药剂师非面对面咨询的发展阶段和实施成功情况。
方法
本研究采用描述性和回顾性方法，实施了与临床医生合作的药剂师非面对面咨询，并将其整合到患者病历中。成立了一个工作组，以定义咨询的内容、答复时间和整合到患者记录中的药师预约时间表。在研究期间，对咨询的数量和类型以及药师的记录进行了测量。
结果
2018 年 4 月至 2019 年 9 月共收集了 530 次非面对面咨询，主要来自医院，但也来自初级保健。咨询的主要动机是应用高成本药物。实施非面对面咨询后，药师在病历中的记录从之前的 98 次增加到 375 次。总之，药剂师非面对面咨询已在我们的卫生区域成功实施，增强了药师在患者病历中的存在感，并改善了药剂师与医生之间的沟通。
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