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药剂师在丹麦一家医院老年病房的配药工作提高了效率并保障了患者安全:一项试点研究。

Medication Dispensing by Pharmacy Technicians Improves Efficiency and Patient Safety at a Geriatric Ward at a Danish Hospital: A Pilot Study.

作者信息

Kjeldsen Lene Juel, Schlünsen Maja, Meijers Annette, Hansen Steffan, Christensen Camilla, Bender Tanja, Ratajczyk Barbara

机构信息

The Hospital Pharmacy, University Hospital Sønderjylland, 6200 Aabenraa, Denmark.

Institute for Regional Health Research, The University of Southern Denmark, 5000 Odense, Denmark.

出版信息

Pharmacy (Basel). 2023 May 8;11(3):82. doi: 10.3390/pharmacy11030082.

Abstract

BACKGROUND

This study aims to evaluate medication dispensing by pharmacy technicians at a geriatric inpatient ward at a Danish hospital.

METHODS

Four pharmacy technicians were trained in delivering a dispensing service at a geriatric ward. At baseline, the ward nurses recorded the time spent dispensing the medication and the number of interruptions. Similar recordings were completed twice during the period in which the pharmacy technicians delivered the dispensing service. Satisfaction among the ward staff with the dispensing service was assessed by a questionnaire. Reported medication errors were collected during the dispensing service period and compared to a similar time period during the previous two years.

RESULTS

The time spent on dispensing medications was on average reduced with 1.4 h per day ranging from 4.7 to 3.3 h per day when the pharmacy technicians performed the service. Interruptions during the dispensing process decreased from a daily average of more than 19 times to an average of 2-3 per day. The nursing staff reported positive feedback on the medication dispensing service provided, especially about easing their workload. There was a tendency toward decreased reporting of medication errors.

CONCLUSION

The medication dispensing service performed by the pharmacy technicians reduced time spent on dispensing medication and increased patient safety by reducing interruptions during the process and decreasing the number of medication errors reported.

摘要

背景

本研究旨在评估丹麦一家医院老年住院病房中药剂师助手的药品调配情况。

方法

四名药剂师助手接受了在老年病房提供调配服务的培训。在基线阶段,病房护士记录调配药品所花费的时间以及中断次数。在药剂师助手提供调配服务期间,类似的记录完成了两次。通过问卷调查评估病房工作人员对调配服务的满意度。在调配服务期间收集报告的用药错误,并与前两年的类似时间段进行比较。

结果

当药剂师助手进行服务时,调配药品所花费的时间平均每天减少了1.4小时,从每天4.7小时降至3.3小时。调配过程中的中断次数从每天平均超过19次降至平均每天2 - 3次。护理人员对所提供的药品调配服务给予了积极反馈,特别是关于减轻了他们的工作量。用药错误报告有减少的趋势。

结论

药剂师助手提供的药品调配服务减少了调配药品所花费的时间,通过减少过程中的中断以及减少报告的用药错误数量提高了患者安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166a/10204530/8d46bc1325be/pharmacy-11-00082-g001.jpg

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