英国两家教学医院的医院药房应对 COVID-19 措施：为未来战略提供信息的部门回顾。
Hospital pharmacy response to COVID-19 at two UK teaching hospitals: a departmental review of actions implemented to inform future strategy.
机构信息
Pharmacy Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Pharmacy Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
出版信息
Eur J Hosp Pharm. 2022 Mar;29(e1):e36-e40. doi: 10.1136/ejhpharm-2020-002626. Epub 2021 Apr 14.
OBJECTIVES
To determine the views of pharmacy staff on a departmental response to wave 1 of the UK COVID-19 pandemic in order to inform a strategy for a second wave at two large UK National Health Service (NHS) hospitals.
METHODS
This study was undertaken at two large teaching hospitals in the UK. Pharmacy staff attended local departmental focus groups. Staff attendance included pharmacists, pharmacy technicians and pharmacy assistants representing all pharmacy services including aseptics, ward-based services, dispensary/distribution and procurement. Responses were transcribed and analysed using thematic analysis.
RESULTS
A total of 138 pharmacy staff attended the departmental focus groups. This study identified which pharmacy-related changes implemented in the first wave will be beneficial to take forward into a second wave. These included extending the hours of the pharmacy service to critical care, retaining the competence of pharmacists and pharmacy technicians redeployed to critical care during wave 1, development of standard operating procedures for changes in practice, delivering/posting of dispensed outpatient medication to patients' place of residence, maintenance of ward-based pharmacy services, use of the healthcare app PANDO to aid team communication, utilisation of remote-controlled drug ordering, deployment of a COVID-19 ward stocklist, procurement of ready-made bags/prefilled syringes of critical care medications, aligning the central intravenous additive service with critical care demand to reduce waste and establishment of a pharmacy response in line with the hospital's implementation plan.
CONCLUSIONS
This study has provided a number of recommendations for how hospital pharmacy departments may respond to a global pandemic. These experiences derived from the pharmacy departments at two large UK NHS Trusts may be used by other healthcare providers to help inform the pharmacy response to a global pandemic.
目的
了解药剂科员工对英国 COVID-19 大流行第一波的部门应对措施的看法，以便为两家英国大型国民保健服务（NHS）医院的第二波疫情提供应对策略。
方法
本研究在英国的两家大型教学医院进行。药剂科员工参加了当地的部门焦点小组。参加人员包括药剂师、药剂技术员和药剂助理，代表所有药剂科服务，包括无菌操作、病房服务、配药/分发和采购。使用主题分析对回复进行转录和分析。
结果
共有 138 名药剂科员工参加了部门焦点小组。这项研究确定了在第一波疫情中实施的哪些与药剂科相关的变革将有助于应对第二波疫情。这些变革包括将药房服务延长至重症监护病房，保留在第一波疫情中被重新部署至重症监护病房的药师和药剂技术员的能力，制定实践变更的标准操作程序，将配给的门诊药物送到患者居住地，维持病房内的药房服务，使用医疗保健应用程序 PANDO 来协助团队沟通，利用远程控制药物订购，部署 COVID-19 病房库存清单，采购现成的重症监护药物袋/预填充注射器，使中央静脉添加剂服务与重症监护需求保持一致，以减少浪费，并按照医院的实施计划建立药房应对措施。
结论
本研究为医院药剂科如何应对全球大流行提供了一些建议。这些经验源自两家英国大型 NHS 信托基金的药剂科部门，其他医疗保健提供者可以借鉴这些经验，为全球大流行期间的药剂科应对措施提供参考。
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