Bergman Brandon, Wrin Justin, Kaakeh Yaman
Purdue University College of Pharmacy, West Lafayette, IN, USA.
Indiana University Health Arnett Hospital, Lafayette, IN, USA.
J Pharm Technol. 2016 Apr;32(2):54-59. doi: 10.1177/8755122515615888. Epub 2015 Nov 12.
Although previous studies have demonstrated positive impact of student pharmacists on clinical interventions, no published studies to date have demonstrated the specific impact of student pharmacists on improving National Hospital Inpatient Quality Measures (NHIQM). To evaluate the impact of a student pharmacist-supported program targeted at improving the venous thromboembolism (VTE) quality measures set forth by the NHIQM. Retrospective review of VTE quality measure compliance at a community nonteaching hospital. During this time, student pharmacists supported a VTE prophylaxis program that evaluated admitted patients for chemical or mechanical prophylaxis needs. Compliance to VTE quality measures were also evaluated by a trained medical data abstractor based on criteria given by the Joint Commission. Four major NHIQM criteria for VTE were selected for evaluation. National and state averages were compared to the overall hospital averages across various timeframes. The student-supported program demonstrated consistently high performance for the VTE-1 and VTE-5 measures. Student pharmacists have opportunities in improving inpatient quality measures and can play a significant role in patient care through thorough evaluation and intervention.
尽管先前的研究已证明学生药剂师对临床干预有积极影响，但迄今为止，尚无已发表的研究证明学生药剂师对改善国家医院住院患者质量指标（NHIQM）有具体影响。为评估一项由学生药剂师支持的项目对改善NHIQM规定的静脉血栓栓塞（VTE）质量指标的影响。对一家社区非教学医院的VTE质量指标合规情况进行回顾性审查。在此期间，学生药剂师支持一项VTE预防项目，该项目对入院患者的化学或机械预防需求进行评估。一名经过培训的医学数据提取员也根据联合委员会给出的标准对VTE质量指标的合规情况进行评估。选择了四个主要的NHIQM VTE标准进行评估。在不同时间段将全国和全州的平均水平与医院总体平均水平进行比较。学生支持的项目在VTE-1和VTE-5指标方面始终表现出较高水平。学生药剂师有机会改善住院患者质量指标，并且通过全面评估和干预可以在患者护理中发挥重要作用。
