Do Tina, Garlock Jenna, Williams Andrea, Mullen Chanda, Frazee Lawrence A
Department of Pharmacy, Cleveland Clinic Akron General, Akron, OH.
Department of Pharmacy, Yale New Haven Hospital, New Haven, CT.
Am J Health Syst Pharm. 2021 Jan 5;78(2):135-140. doi: 10.1093/ajhp/zxaa364.
A study was conducted to compare the accuracy of medication histories compiled by pharmacy technicians with histories obtained through the usual multidisciplinary process.
A retrospective cohort study was conducted at a community teaching hospital from January 2017 through February 2018. Inclusion criteria included patient age of at least 18 years, use of 1 or more medications at the time of admission, and hospital admission through the emergency department. Each electronically documented medication history was assessed for accuracy. The objective was to compare the accuracy of pharmacy technician-collected medication histories to those obtained through the usual multidisciplinary process.
Of 215 patients screened, 183 were included in the study: 91 patients whose medication histories were obtained through the usual multidisciplinary process and 92 whose medication histories were collected by pharmacy technicians. Overall, documentation for 1,773 medications listed in medication histories was reviewed. The primary outcome of medication history accuracy occurred 38% of the time with the usual multidisciplinary process and 70% of the time with pharmacy technician collection of medication histories (P < 0.001).
The study showed that the accuracy of medication histories was improved when histories were obtained by pharmacy technicians instead of via the usual multidisciplinary process.
开展一项研究以比较药房技术员编制的用药史与通过常规多学科流程获取的用药史的准确性。
于2017年1月至2018年2月在一家社区教学医院开展了一项回顾性队列研究。纳入标准包括患者年龄至少18岁、入院时使用1种或更多药物以及通过急诊科入院。对每份电子记录的用药史进行准确性评估。目的是比较药房技术员收集的用药史与通过常规多学科流程获取的用药史的准确性。
在筛选的215例患者中，183例纳入研究：91例患者的用药史通过常规多学科流程获取，92例患者的用药史由药房技术员收集。总体而言，对用药史中列出的1773种药物的记录进行了审查。用药史准确性这一主要结果在常规多学科流程中出现的概率为38%，在药房技术员收集用药史时出现的概率为70%（P<0.001）。
该研究表明，由药房技术员获取用药史时，用药史的准确性高于通过常规多学科流程获取时。
