Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Res Social Adm Pharm. 2023 Oct;19(10):1315-1330. doi: 10.1016/j.sapharm.2023.07.003. Epub 2023 Jul 4.
Care for children who are hospitalized can be optimized if the pharmacist, in conjunction with the multidisciplinary team, promotes the rational use of medicines. In this sense, the evaluation of the quality of these clinical services through indicators is important in the planning, decision making of pharmacists and managers of these services.
To characterize which health indicators were influenced by the pharmaceutical clinical services for the care of children in hospitals.
A systematic review was performed. The search for data was made on the bases: Cochrane, Embase, Lilacs, Pubmed and Web of Science. Then, the search included studies in which evaluated the impact of pharmaceutical clinical services on clinical, economic and humanistic outcomes.
The search resulted in 11 included studies. In this review, four pharmaceutical clinical services were found: pharmacotherapy review, multiprofessional team interventions, antimicrobial stewardship program and pharmaceutical services at discharge hospital. The most influenced outcome indicators were length of hospital stay, with average time in the group that received the pharmacotherapy review service, and interventions multiprofessional team with a 6.45-day vs. 10.83 days in the control group; hospital readmissions with a significant reduction of non-scheduled readmission of 30 days in the ntimicrobial stewardship program; reduction of hospital costs and caregiver satisfaction.
In this study, we can highlight that pharmacotherapy review, multiprofessional team interventions and Antimicrobial Stewardship Program that significantly reduced the clinical results of length of hospital stay and hospital readmission, as well as a significant reduction of hospital costs.
如果药剂师与多学科团队合作，促进合理用药，那么对住院儿童的护理可以得到优化。从这个意义上说，通过指标来评估这些临床服务的质量对于这些服务的药剂师和管理人员的规划和决策非常重要。
描述药物临床服务对医院儿童护理的质量产生影响的健康指标。
进行了系统评价。在 Cochrane、Embase、Lilacs、Pubmed 和 Web of Science 数据库上进行了数据搜索。然后，搜索包括评估药物临床服务对临床、经济和人文结果影响的研究。
搜索结果纳入了 11 项研究。在这项综述中，发现了四种药物临床服务：药物治疗审查、多专业团队干预、抗菌药物管理计划和医院出院后的药物服务。受影响最大的结果指标是住院时间，接受药物治疗审查服务的组的平均时间为，而对照组的平均时间为 10.83 天；住院再入院，抗菌药物管理计划显著降低了 30 天非计划性再入院率；降低医院成本和护理人员满意度。
在这项研究中，我们可以强调药物治疗审查、多专业团队干预和抗菌药物管理计划显著降低了住院时间和住院再入院的临床结果，以及显著降低了医院成本。
