分析病房临床药师在患者住院期间所开展的活动。
Analysis of activities undertaken by ward-based clinical pharmacy technicians during patient hospital journey.
机构信息
School of Pharmacy and Pharmaceutical Sciences, Faculty of Life and Health Sciences, University of Ulster, Coleraine, UK.
Misr University for Science & Technology, Giza, Egypt.
出版信息
Eur J Hosp Pharm. 2021 Nov;28(6):313-319. doi: 10.1136/ejhpharm-2019-001972. Epub 2019 Oct 29.
INTRODUCTION
Previous studies recognise insufficient time as an obstacle to pharmacists expanding their clinical-based activities and services. For such a reason, the role of well-trained ward-based clinical pharmacy technicians (CPTs) is to work as an integral part of the pharmacy team to achieve the best patient outcomes and medicines optimisation, releasing pharmacist time to complete more complex clinical-related activities.
OBJECTIVE
To demonstrate quantitatively the range and extent of daily activities undertaken by CPTs during a patient's hospital journey.
METHOD
A prospective-based study has been designed. All daily working services and activities undertaken by ward-based CPTs within a 450-bed Acute District General hospital were quantitatively collected and documented. Data were collected from five medical, two surgical and one cardiology wards of 30 beds in each over a period of 2 weeks for each ward representing a total of 70 working days (14 weeks, excluding weekends).
RESULTS
Results showed the breakdown of seven different ward-based activities throughout a typical working day with the main working load being reviews of the patients' medication charts in order to supply new medicines and refer medicines-related issues to the ward pharmacist, with an average number reviewed of (23.17±0.85) representing 77.23% of the total patients in a 30-bed ward. The CPTs' highest workload was on Mondays and Fridays, mainly during the morning working hours (09:00-12:00). Also, statistically significant differences (p<0.05; Kruskal-Wallis test) existed between the workload of the three different ward specialties (medical, surgical and cardiology) in five clinical activities out of seven undertaken by CPT per day.
CONCLUSION
CPTs are completing more than seven different ward pharmacy-related activities which enhance medicines optimisation, medicines management and patient care. They are a valuable resource carrying out many roles which were previously completed by junior pharmacists. Their prioritising of patients for review ensures pharmacists focus their efforts on the most vulnerable patients.
简介
先前的研究表明，时间不足是阻碍药剂师扩大其临床活动和服务的一个障碍。出于这个原因，训练有素的病房临床药剂师技术人员（CPTs）的作用是作为药剂师团队的一个组成部分，以实现最佳的患者治疗效果和药物优化，释放药剂师的时间来完成更复杂的临床相关活动。
目的
定量展示 CPT 在患者住院期间所进行的日常活动的范围和程度。
方法
设计了一项前瞻性研究。对在一家 450 床位的急症地区综合医院的病房内的 CPT 所进行的所有日常工作服务和活动进行了定量收集和记录。从五间内科病房、两间外科病房和一间心脏病病房中收集数据，每间病房有 30 张病床，每间病房在两周内每天进行一次，每个病房共进行 70 天（不包括周末）。
结果
结果显示，在典型的工作日内，CPT 参与了七种不同的病房活动，主要工作负荷是审查患者的用药图表，以提供新的药物并将与药物相关的问题转介给病房药剂师，平均审查人数为（23.17±0.85），占 30 张病床病房总患者人数的 77.23%。CPTs 的工作量最大是在周一和周五，主要集中在上午工作时间（09:00-12:00）。此外，在 CPT 每天进行的七种日常活动中，有五种临床活动的工作量在三个不同病房专业（内科、外科和心脏病科）之间存在统计学显著差异（p<0.05；Kruskal-Wallis 检验）。
结论
CPTs 完成了七种以上的不同病房与药学相关的活动，这些活动增强了药物优化、药物管理和患者护理。他们是一种有价值的资源，可以承担以前由初级药剂师完成的许多角色。他们对患者进行审查的优先级确保药剂师将精力集中在最脆弱的患者身上。
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