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药剂师信息专家:在 COVID-19 危机期间提供创新的护理模式。

The pharmacist informatician: providing an innovative model of care during the COVID-19 crisis.

机构信息

School of Pharmacy, The University of Queensland, Brisbane, Australia.

Pharmacy Department, Princess Alexandra Hospital, Brisbane, Australia.

出版信息

Int J Pharm Pract. 2021 Mar 17;29(2):152-156. doi: 10.1093/ijpp/riaa017.

Abstract

OBJECTIVES

The global coronavirus pandemic has expedited digitisation in every industry, especially healthcare, and has highlighted the potential for informatics pharmacists to provide valuable input into crisis management. Informatics pharmacists can combine their clinical and information technology skills to help provide essential patient safety services related to medication management, procurement and analytics. The objective of this study was to determine the key opportunities for a pharmacist informatician to improve patient care and outcomes during the COVID-19 pandemic.

METHODS

Fourteen expert informatics professionals involved in the provision of digital health in Queensland, Australia, were invited to participate in a brief semistructured interview. Transcripts were manually coded, through iterative readings of the text to identify participant responses related to opportunities for a pharmacist informatician to assist during COVID-19. Inductive thematic analysis as described by Braun and Clarke, was used to identify groups of text related to the provision of digital health, informatics and change of practice during a pandemic. The relevant codes were then grouped into themes to help answer the research question.

KEY FINDINGS

Twelve experts agreed to participate, they included nine informatics pharmacists and three digital health experts from hospital and community. Two key themes and 13 codes related to enabling safer and more efficient workflow and use of data analytics to optimise care were identified. The first theme related to 'social distancing without compromising care' for example, by using the electronic capabilities of digital hospitals and telehealth services. The second theme related to the use of real-time data streaming to optimise patient flow and timely medication procurement and management. Examples of quotes from transcripts were used to provide context and answer the research question.

CONCLUSIONS

The experts interviewed identified areas where informatics pharmacists have the potential to assist with maintaining high quality patient care during this pandemic, and in future disasters. Improving awareness, training, and the integration about informatics roles as a result of this global pandemic will likely assist with future patient management in the event of future disasters.

摘要

目的

全球冠状病毒大流行加速了每个行业的数字化进程,尤其是医疗保健行业,并凸显了信息药师在危机管理中提供有价值投入的潜力。信息药师可以将他们的临床和信息技术技能结合起来,帮助提供与药物管理、采购和分析相关的基本患者安全服务。本研究的目的是确定药师信息专家在 COVID-19 大流行期间改善患者护理和结果的关键机会。

方法

邀请 14 名参与澳大利亚昆士兰州数字医疗服务的专家信息药师参加简短的半结构式访谈。通过对文本进行迭代阅读,手动对转录本进行编码,以识别与药师信息专家在 COVID-19 期间协助相关的参与者答复。采用 Braun 和 Clarke 描述的归纳主题分析,识别与数字医疗、信息学和大流行期间实践变革相关的文本组。然后将相关代码分组为主题,以帮助回答研究问题。

主要发现

12 名专家同意参与,其中包括 9 名信息药师和 3 名来自医院和社区的数字健康专家。确定了两个关键主题和 13 个与实现更安全、更高效的工作流程以及利用数据分析优化护理相关的代码。第一个主题与“在不影响护理的情况下保持社交距离”有关,例如利用数字医院和远程医疗服务的电子功能。第二个主题与利用实时数据流优化患者流量以及及时采购和管理药物有关。从记录中引用的示例用于提供背景并回答研究问题。

结论

接受采访的专家确定了信息药师在这场大流行期间以及未来灾难中有可能协助维持高质量患者护理的领域。由于这场全球大流行,提高对信息学角色的认识、培训和整合,可能有助于未来在发生未来灾害时进行患者管理。

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