Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Dignity Health - Northridge Hospital Medical Center, Northridge, CA, USA.
Am J Health Syst Pharm. 2021 Mar 18;78(7):619-632. doi: 10.1093/ajhp/zxab010.
To identify interventions for organizational pharmacist-leaders and frontline pharmacy staff to optimize peri- and postdischarge medication management.
An evidence-based toolkit was systematically constructed on the basis of findings of 3 systematic overviews of systematic reviews. The interventions were reviewed by a technical expert panel and categorized as either tools or tactics. The identified tools are instruments such as diagrams, flow charts, lists, tables, and templates used in performing a distinct operation, whereas identified tactics reflect broader methods (eg, reduced dosing frequency). Tools and tactics were chosen on the basis of their potential to improve postdischarge medication management, with a focus on interventions led by pharmacy staff that may reduce hospital readmissions among older, sicker patients. Overall, 23 tools and 2 tactics were identified. The identified tools include items such as education, text messaging, and phone calls. The tactics identified are dose simplification and monetary incentives. Practical information has also been provided to facilitate implementation.
Several tools and tactics are available to optimize peri- and postdischarge medication management. Organizational pharmacist-leaders and frontline pharmacy staff can implement these interventions to improve patient outcomes.
确定组织药剂师领导者和一线药剂师人员的干预措施，以优化出院前后的药物管理。
在对 3 项系统评价的系统评价进行系统分析的基础上，有针对性地构建了一个循证工具包。技术专家小组对干预措施进行了审查，并将其归类为工具或策略。确定的工具是在执行特定操作时使用的图表、流程图、清单、表格和模板等工具，而确定的策略则反映了更广泛的方法（例如，减少剂量频率）。选择工具和策略的依据是它们改善出院后药物管理的潜力，重点是由药剂师领导的干预措施，这些措施可能会降低年龄较大、病情较重的患者的住院再入院率。总体而言，确定了 23 种工具和 2 种策略。确定的工具包括教育、短信和电话等项目。确定的策略包括简化剂量和经济奖励。还提供了实用信息，以方便实施。
有几种工具和策略可用于优化出院前后的药物管理。组织药剂师领导者和一线药剂师人员可以实施这些干预措施，以改善患者的治疗效果。
