Andreski Michael, Martin Erica, Brouner Victoria Valentine, Sorum Sarah
Drake University College of Pharmacy and Health Sciences.
Pharmacy Society of Wisconsin.
Innov Pharm. 2020 Apr 30;11(2). doi: 10.24926/iip.v11i2.2340. eCollection 2020.
Elevating the technical role of pharmacy technicians to perform Technician Product Verification (TPV) is one strategy that has shown promise to optimize pharmacy practice models. This is done by better positioning pharmacists to provide clinical care, in line with their education and expertise. TPV permits a Validated Pharmacy Technician, as defined by the Wisconsin Pharmacy Examining Board, to verify the accuracy of a product filled by another technician. The pharmacist maintains responsibility for assessing the clinical appropriateness of the prescription, including drug utilization review, data entry, and patient counseling. During the study period, 12,891 pharmacist-verified prescriptions (baseline) and 27,447 Validated Pharmacy Technician-verified prescriptions were audited for accuracy. The aggregate verification error rate for pharmacist-verified prescriptions was 0.16% and 0.01% for Validated Pharmacy Technician-verified prescriptions. The mean error rate was significantly less for Validated Pharmacy Technician-verified prescriptions than for pharmacist-verified prescriptions (0.19 ± 0.174 % vs 0.03 ± 0.089 %, p=0.020) (Figure 3). This suggests TPV in the community pharmacy setting maintained patient safety. In this study, Validated Pharmacy Technicians were shown to be more accurate than pharmacists at performing product verification. The ability to delegate the product verification task holds the potential to free up pharmacist time for increased direct patient care. Increasing direct patient care by pharmacists in community pharmacies may have significant implications for improving patient outcomes and pharmacy quality.
提升药房技术员的技术角色以执行技术员产品验证（TPV）是一种有望优化药房实践模式的策略。通过使药剂师更好地定位以提供符合其教育和专业知识的临床护理来实现这一点。TPV允许由威斯康星州药房审查委员会定义的经过验证的药房技术员验证由另一名技术员调配的产品的准确性。药剂师仍负责评估处方的临床适宜性，包括药物利用审查、数据录入和患者咨询。在研究期间，对12891份由药剂师验证的处方（基线）和27447份由经过验证的药房技术员验证的处方进行了准确性审核。药剂师验证的处方的总体验证错误率为0.16%，经过验证的药房技术员验证的处方为0.01%。经过验证的药房技术员验证的处方的平均错误率显著低于药剂师验证的处方（0.19±0.174%对0.03±0.089%，p = 0.020）（图3）。这表明社区药房环境中的TPV维护了患者安全。在这项研究中，经过验证的药房技术员在进行产品验证时被证明比药剂师更准确。将产品验证任务委托出去的能力有可能腾出药剂师的时间以增加直接的患者护理。社区药房中增加药剂师的直接患者护理可能对改善患者结局和药房质量具有重大意义。
