Newman Paula, Dhaliwall Sammu, Polyakova Olena, McDonald Kevin
, BScPhm, ACPR, is with Northwest Telepharmacy Solutions, Deep River, Ontario.
, PharmD, ACPR, is with Northwest Telepharmacy Solutions, Deep River, Ontario.
Can J Hosp Pharm. 2021 Summer;74(3):256-268. doi: 10.4212/cjhp.v74i3.3153. Epub 2021 Jul 1.
The Canadian Society of Hospital Pharmacists' Hospital Pharmacy in Canada Report presents data from pharmacy departments that service hospitals with at least 50 acute care beds. This report provides valuable data on pharmacy distribution, clinical, and management services in relation to hospital size, type, and geographic region. Pharmacy and hospital leadership use these extensive data in identifying baseline, benchmarking current, and planning enhanced pharmacy services. However, for most of Canada's small hospitals, such data remain unknown, and leadership remains uninformed.
To gather and analyze data about current pharmacy distribution, clinical, and management services in hospitals with fewer than 50 acute care beds receiving third-party remote pharmacy (telepharmacy) services.
In April 2019, pharmacy administrators of hospitals in Ontario, Quebec, and Saskatchewan that had fewer than 50 acute care beds and were using third-party telepharmacy services were invited to complete a comprehensive survey addressing concepts similar to those in the Hospital Pharmacy in Canada Survey. The following data on clinical pharmacy practice were collected: models of care, assignments to patient care programs, pharmacists' activities, performance indicators, and professional evaluation. The description of pharmacy distribution services comprised type of system, technology, location, hours of operation, method of medication order entry and verification, and medication administration records. Details on facilities' parenteral admixture infrastructure, policy for and provision of sterile compounding, and pharmacy department human resources, including composition and staffing ratios, were also collected.
Of the 27 hospitals in Ontario, Quebec, and Saskatchewan that were invited to participate, 24 (89%) completed the survey. The median facility size was 19 acute care beds.
Previously unavailable in Canada, these quantitative data from small hospitals supported by telepharmacy services provide facts about pharmacy distribution, clinical, and management services to inform hospital and pharmacy leaders. Creation of a survey unique to small hospitals, whether or not they use telepharmacy services, could provide a valuable resource to assist in the benchmarking, planning, and enhancement of pharmacy services in remote and rural communities.
加拿大医院药剂师协会的《加拿大医院药学报告》展示了为拥有至少50张急性护理床位的医院提供服务的药房部门的数据。该报告提供了与医院规模、类型和地理区域相关的药房配送、临床和管理服务的宝贵数据。药房和医院领导利用这些广泛的数据来确定基线、对标当前情况以及规划强化药房服务。然而，对于加拿大大多数小型医院而言，此类数据仍然未知，领导们也未掌握相关信息。
收集并分析接受第三方远程药房（远程药学）服务且急性护理床位少于50张的医院当前药房配送、临床和管理服务的数据。
2019年4月，邀请安大略省、魁北克省和萨斯喀彻温省拥有少于50张急性护理床位且正在使用第三方远程药学服务的医院的药房管理人员完成一项全面调查，该调查涉及与《加拿大医院药学调查》中类似的概念。收集了以下临床药学实践数据：护理模式、患者护理项目分配、药剂师活动、绩效指标和专业评估。药房配送服务的描述包括系统类型、技术、位置、运营时间、用药医嘱录入和核查方法以及用药管理记录。还收集了有关设施的肠外混合配制基础设施、无菌配制政策及提供情况以及药房部门人力资源（包括组成和人员配备比例）的详细信息。
在安大略省、魁北克省和萨斯喀彻温省受邀参与的27家医院中，24家（89%）完成了调查。设施规模的中位数为19张急性护理床位。
这些由远程药学服务支持的小型医院的定量数据在加拿大此前并不存在，它们提供了有关药房配送、临床和管理服务的事实，以供医院和药房领导参考。创建一项针对小型医院（无论是否使用远程药学服务）的独特调查，可为协助偏远和农村社区的药房服务进行对标、规划和强化提供宝贵资源。
