基于科室的临床药师对骨科医院用药信息沟通的影响。
Impact of a Unit-Based Clinical Pharmacist on Communication of Medication Information in an Orthopedic Hospital.
作者信息
Guerin Kelly, Quinlan Patricia, Wessolock Robert, Goldberg Stephanie, Nguyen Joseph T, Stone Patricia W
机构信息
Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021 USA.
Center for Health Policy, New York-Presbyterian/Columbia University Irving Medical Center, 617 W. 168th Street, New York, NY 10032 USA.
出版信息
HSS J. 2020 Dec;16(Suppl 2):333-338. doi: 10.1007/s11420-019-09739-2. Epub 2020 Feb 4.
BACKGROUND
Medication management, a complex yet essential part of patient care, requires that clinicians and patients understand indication, dosage, frequency, and adverse effects in order to maximize benefits and minimize errors, as well as to transition patients from hospital to home. Clinical pharmacists improve care transitions and safety by interacting with patients, prescribers, and nurses on medication management and self-care. However, little is known on the use of clinical pharmacists on interdisciplinary teams at the unit level within orthopedics.
QUESTIONS/PURPOSES: This study sought to measure the impact of unit-based clinical pharmacists on patient perceptions of communication specific to medication during hospitalization at an orthopedic specialty hospital and on the frequency of medication errors.
METHODS
A retrospective, quasi-experimental, two-group evaluative design with nonequivalent controls was used. Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data on six inpatient units was analyzed 6 months before and 6 months after assignment of clinical pharmacists to half these units. Data specific to questions that measure quality of communication as well as medication understanding were analyzed. Additionally, data on medication error frequency were collected and compared between units with and without clinical pharmacists.
RESULTS
A total of 2022 surveys were analyzed. The percentage of patients who reported receipt of medication information and medication understanding increased significantly after the implementation of unit-based clinical pharmacists. Comparison of intervention and non-intervention groups showed no statistically significant difference in the frequency of medication errors.
CONCLUSION
Results suggest that a clinical pharmacist assigned to an inpatient unit in orthopedics significantly influences patient perceptions of communication about and understanding of their medications.
背景
药物管理是患者护理中复杂但重要的一部分，要求临床医生和患者了解适应证、剂量、用药频率及不良反应，以实现效益最大化并减少错误，同时帮助患者从医院过渡到家庭。临床药师通过与患者、开处方者及护士就药物管理和自我护理进行互动，改善护理过渡和安全性。然而，对于骨科病房层面跨学科团队中临床药师的使用情况，我们知之甚少。
问题/目的：本研究旨在衡量骨科专科医院病房临床药师对患者住院期间药物沟通认知及用药错误频率的影响。
方法
采用回顾性、准实验性、两组非等效对照评估设计。在将临床药师分配至六个住院病房中的一半病房之前6个月和之后6个月，分析医疗服务提供者和系统消费者评估（HCAHPS）数据。分析与沟通质量及药物理解相关问题的具体数据。此外，收集有临床药师和无临床药师病房的用药错误频率数据并进行比较。
结果
共分析了2022份调查问卷。实施病房临床药师后，报告收到药物信息和理解药物的患者百分比显著增加。干预组和非干预组用药错误频率比较无统计学显著差异。
结论
结果表明，分配到骨科住院病房的临床药师对患者关于药物沟通及理解的认知有显著影响。
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