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纽约市一家癌症中心在 COVID-19 期间的门诊临床药学实践。

Outpatient clinical pharmacy practice in the face of COVID-19 at a cancer center in New York City.

机构信息

Department of Pharmacy, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

J Oncol Pharm Pract. 2021 Mar;27(2):389-394. doi: 10.1177/1078155220987625. Epub 2021 Jan 17.

Abstract

PURPOSE

With the rapid spread of COVID-19 in New York City since early March 2020, innovative measures were needed for clinical pharmacy specialists to provide direct clinical care safely to cancer patients. Allocating the workforce was necessary to meet the surging needs of the inpatient services due to the COVID-19 outbreak, which had the potential to compromise outpatient services. We present here our approach of restructuring clinical pharmacy services and providing direct patient care in outpatient clinics during the pandemic.

DATA SOURCES

We conducted a retrospective review of electronic clinical documentation involving clinical pharmacy specialist patient encounters in 9 outpatient clinics from March 1, 2020 to May 31, 2020. The analysis of the clinical pharmacy specialist interventions and the impact of the interventions was descriptive.

DATA SUMMARY

As hospital services were modified to handle the surge due to COVID-19, select clinical pharmacy specialists were redeployed from the outpatient clinics or research blocks to COVID-19 inpatient teams. During these 3 months, clinical pharmacy specialists were involved in 2535 patient visits from 9 outpatient clinics and contributed a total of 4022 interventions, the majority of which utilized telemedicine. The interventions provided critical clinical pharmacy care during the pandemic and omitted 199 in-person visits for medical care.

CONCLUSION

The swift transition to telemedicine allowed the provision of direct clinical pharmacy services to patients with cancer during the COVID-19 pandemic.

摘要

目的

自 2020 年 3 月初以来,COVID-19 在纽约市迅速传播,临床药学专家需要采取创新措施,安全地为癌症患者提供直接的临床护理。由于 COVID-19 疫情的爆发,需要调配劳动力以满足住院服务的激增需求,这有可能会影响到门诊服务。我们在此介绍了在大流行期间重组临床药学服务并在门诊诊所提供直接患者护理的方法。

资料来源

我们对涉及 2020 年 3 月 1 日至 5 月 31 日期间 9 个门诊诊所的临床药学专家患者就诊的电子临床记录进行了回顾性审查。对临床药学专家干预措施及其影响的分析是描述性的。

资料摘要

随着医院服务进行调整以应对 COVID-19 带来的激增,选择的临床药学专家从门诊或研究病房重新部署到 COVID-19 住院团队。在这 3 个月中,临床药学专家参与了来自 9 个门诊诊所的 2535 次就诊,共提出了 4022 项干预措施,其中大多数利用了远程医疗。这些干预措施在大流行期间提供了关键的临床药学护理,并避免了 199 次医疗门诊就诊。

结论

迅速转向远程医疗使临床药学专家能够在 COVID-19 大流行期间为癌症患者提供直接的临床药学服务。

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Determinants of COVID-19 disease severity in patients with cancer.癌症患者 COVID-19 疾病严重程度的决定因素。
Nat Med. 2020 Aug;26(8):1218-1223. doi: 10.1038/s41591-020-0979-0. Epub 2020 Jun 24.
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COVID-19 in Children With Cancer in New York City.纽约市癌症儿童中的 COVID-19 。
JAMA Oncol. 2020 Sep 1;6(9):1459-1460. doi: 10.1001/jamaoncol.2020.2028.
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Safeguarding cancer care in a post-COVID-19 world.在新冠疫情后的世界中保障癌症护理。
Lancet Oncol. 2020 May;21(5):603. doi: 10.1016/S1470-2045(20)30243-6.

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