Western NSW Local Health District, Dubbo, Australia.
Western NSW Local Health District, Orange, Australia.
Am J Health Syst Pharm. 2022 Aug 5;79(16):1376-1384. doi: 10.1093/ajhp/zxac082.
To describe a virtual clinical pharmacy service as a model of care to support rural and remote Australian hospitals that otherwise would not have access to onsite pharmacists.
Many small hospitals in Australia do not have an onsite hospital pharmacist and struggle to support and optimize patient care. To increase access to a hospital pharmacist's specialized skills and medication knowledge, a virtual clinical pharmacy service was designed and implemented in 8 hospitals across rural New South Wales, Australia in 2020. The virtual clinical pharmacy service focuses on the core role of hospital pharmacists, including obtaining a best possible medication history, medication reconciliation at transitions of care, medication review, interprofessional team meetings, provision of patient-friendly medication lists, antimicrobial stewardship, and patient and clinician education. The model is aligned with recognized standards of practice for the delivery of clinical pharmacy services in Australian hospitals. This article details a model of care for translation across other settings. It provides the necessary details on clinical services, processes, supporting structures, an evaluation framework, and other important considerations for implementing virtual pharmacy services.
This research provides policymakers, health service planners, and practitioners with a model for providing comprehensive clinical pharmacy services virtually to increase the safe and effective use of medicines. Future publication of the findings of a formal evaluation of the model's acceptability and effectiveness is planned.
描述虚拟临床药学服务模式，以为那些否则无法获得驻场药剂师的澳大利亚农村和偏远地区医院提供支持。
澳大利亚许多小型医院没有驻场医院药剂师，难以提供和优化患者护理。为了增加医院药剂师的专业技能和药物知识的获取途径，2020 年在澳大利亚新南威尔士州的 8 家医院设计并实施了虚拟临床药学服务。虚拟临床药学服务专注于医院药剂师的核心角色，包括获取尽可能完善的用药史、在患者转院时进行用药核对、药物审查、跨专业团队会议、提供便于患者理解的用药清单、抗菌药物管理，以及患者和临床医生教育。该模式符合澳大利亚医院提供临床药学服务的公认实践标准。本文详细介绍了一种适用于其他环境的护理模式。它提供了有关临床服务、流程、支持结构、评估框架以及实施虚拟药房服务的其他重要注意事项的详细信息。
本研究为政策制定者、卫生服务规划者和从业者提供了一种通过虚拟方式提供全面临床药学服务的模式，以提高药物的安全有效使用。计划未来发表对该模式的可接受性和有效性的正式评估结果。
