Pharmacy Technician, West 5 Primary Care Network, Sheffield, England.
Oncology Pharmacist, Calderdale and Huddersfield NHS Foundation Trust, England.
J Oncol Pharm Pract. 2023 Oct;29(7):1702-1707. doi: 10.1177/10781552221147659. Epub 2022 Dec 26.
Medicines Management Technicians have been shown to be an underused resource in medicines optimisation and medicines waste. In the United Kingdom, there are national recommendations for the clinical pharmacy service in cancer services ambulatory units, despite these recommendations, there was no clinical pharmacy service on the day case unit at a specialist tertiary centre in England. A lot of the patient pathways had been in place for many years and had not progressed with the changes in the clinical pathways. The main objectives of this study were to analyse how a medicines management technician could reduce medicines waste, improve the current pathway, increase medicines optimisation and ultimately improve the patient experience in an oncology day case unit at a specialist tertiary centre in England.
A prospective mixed methods study was carried out at Weston Park Hospital. Descriptive statistical analysis was conducted on the quantitative data collected, and thematic analysis was carried out on the qualitative data collected by questionnaire to staff members and patients.
This study has shown that a medicines management technician can complete some of the tasks more traditionally done by the chemotherapy nurses on the day case unit, increasing their capacity for more clinically appropriate tasks. A medicines management technician can work as part of the wider multidisciplinary team on a day case unit contributing to medicines optimisation and cost savings for the oncology directorate.
This study has shown that a medicines management technician can act as a valued member of the wider multidisciplinary team, improving communication and patient pathways, improving medicines optimisation and contributing to cost saving initiatives. Further studies are required to assess whether a medicines management technician role can be of the same value on a haematology day case unit.
药品管理技术员在优化药物和减少药物浪费方面的作用尚未得到充分利用。在英国，尽管有国家建议在癌症服务门诊单位设立临床药剂师服务，但在英格兰的一家专业三级中心的日间手术病房却没有临床药剂师服务。许多患者的治疗途径已经存在多年，并没有随着临床途径的变化而发展。本研究的主要目的是分析药品管理技术员如何减少药物浪费、改进当前的治疗途径、增加药物优化，最终改善英格兰一家专业三级中心肿瘤日间手术病房的患者体验。
在 Weston Park 医院进行了一项前瞻性混合方法研究。对收集到的定量数据进行描述性统计分析，并对通过问卷调查收集到的定性数据进行主题分析，调查对象是工作人员和患者。
这项研究表明，药品管理技术员可以完成日间手术病房中一些传统上由化疗护士完成的任务，从而增加他们从事更具临床意义任务的能力。药品管理技术员可以作为日间手术病房多学科团队的一员，为肿瘤学主任部门的药物优化和成本节约做出贡献。
本研究表明，药品管理技术员可以作为更广泛的多学科团队的有价值成员，改善沟通和患者治疗途径，优化药物使用并为节约成本的计划做出贡献。需要进一步的研究来评估在血液学日间手术病房中，药品管理技术员的角色是否具有相同的价值。
