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教育培训项目对一家教学医院药剂师文件记录实践的影响。

Impact of an educational training program on pharmacists' documentation practice at a teaching hospital.

作者信息

Elbeddini Ali, Tayefehchamani Yasamin, Elshahawi Ahmed, Yilmaz Zekiye, Villegas Josiah J

机构信息

Family Medicine Department, Ottawa Medical School, Chief of Pharmacy, WDMH, Winchester District Memorial Hospital, Winchester, ON, Canada.

Leslie Dan School of Pharmacy, University of Toronto, Toronto, Canada.

出版信息

J Taibah Univ Med Sci. 2021 Jun 8;16(5):665-671. doi: 10.1016/j.jtumed.2021.03.009. eCollection 2021 Oct.

DOI:10.1016/j.jtumed.2021.03.009
PMID:34690645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8498680/
Abstract

OBJECTIVES

This study aims to determine the impact of an educational training program on the quantity and quality of the pharmacists' documentation practice at the Winchester District Memorial Hospital.

METHODS

This study is a part of an evaluation for continuous quality improvement, performed applying a pre- and post-test model. The primary endpoint was the number of Pharmacists' Patient-Care Records in patient charts with the listed action codes. Charts of 80 patients were surveyed at three points (two months before and one and three months after the sessions) for 240 charts. Additionally, a pre- and post-educational questionnaire was administered using case scenarios and the Pharmacists' Patient-Care Record code system.

RESULTS

The number of charts containing Pharmacists' Patient-Care Records with Action Codes listed is 70%, 73%, and 64% in the first, second, and third chart review rounds, respectively. According to the pre- and post-educational session questionnaire, the average score per pharmacist is 47% and 73%, respectively.

CONCLUSION

The initial estimate of the documentation practice is 50% or less, which is an underestimation. Furthermore, the quantity of pharmacists' documentation is not significantly affected by the educational sessions; however, the quality is improved.

摘要

目的

本研究旨在确定教育培训项目对温彻斯特区纪念医院药剂师记录实践的数量和质量的影响。

方法

本研究是持续质量改进评估的一部分,采用前后测试模型进行。主要终点是患者病历中带有列出的行动代码的药剂师患者护理记录数量。在三个时间点(课程开始前两个月以及课程开始后一个月和三个月)对80名患者的病历进行调查,共240份病历。此外,使用案例场景和药剂师患者护理记录代码系统进行教育前后问卷调查。

结果

在第一轮、第二轮和第三轮病历审查中,包含列出行动代码的药剂师患者护理记录的病历数量分别为70%、73%和64%。根据教育课程前后的问卷调查,每位药剂师的平均得分分别为47%和73%。

结论

记录实践的初始估计为50%或更低,这是一个低估。此外,药剂师记录的数量未受到教育课程的显著影响;然而,质量有所提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bded/8498680/4eb4623a7901/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bded/8498680/4eb4623a7901/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bded/8498680/4eb4623a7901/gr1.jpg

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Documentation in the Patient's Medical Record by Clinical Pharmacists in a Canadian University Teaching Hospital.加拿大一所大学教学医院临床药剂师在患者病历中的记录
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