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加强社区药剂师在用药安全中的作用:一项对一线声音的定性研究

Enhancing the Role of Community Pharmacists in Medication Safety: A Qualitative Study of Voices from the Frontline.

作者信息

White Annesha, Thompson Erika L, Kim Solyi, Osei Janice A, Fulda Kimberly G, Xiao Yan

机构信息

College of Pharmacy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USA.

Department of Quantitative and Qualitative Health Sciences, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA.

出版信息

Pharmacy (Basel). 2025 Jul 9;13(4):94. doi: 10.3390/pharmacy13040094.


DOI:10.3390/pharmacy13040094
PMID:40700265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12286251/
Abstract

Preventable adverse drug events (ADEs) remain a significant threat in community settings, a challenge that is critical in community pharmacy settings where continuity of care and healthcare access can be limited. This qualitative study explored the perspectives of 13 community pharmacists through focus groups and interviews to identify barriers and propose solutions to enhance their role in patient care. Pharmacists emphasized their critical position in ensuring safe medication use, particularly for older adults managing multiple chronic conditions. Key findings revealed five themes: (1) defining medication safety as minimizing risk and empowering patients; (2) characteristics of the "perfect patient," including medication awareness and proactive engagement; (3) the pharmacist's role in detecting and resolving medication-related problems; (4) systemic barriers such as time constraints, lack of access to patient records, insufficient privacy, and undervaluation of pharmacists' roles; and (5) proposed solutions including private counseling areas, increased staffing, integrated electronic health records, and legislative recognition of pharmacists as healthcare providers. Strengthening collaboration with physicians and empowering patients through education were also highlighted as key strategies. These findings underscore the need for systemic changes-especially in light of lessons learned during the pandemic-to support pharmacists in delivering comprehensive medication management and improving patient safety.

摘要

在社区环境中,可预防的药物不良事件(ADEs)仍然是一个重大威胁,这一挑战在社区药房环境中至关重要,因为在这种环境下,连续护理和医疗服务的可及性可能会受到限制。这项定性研究通过焦点小组和访谈探讨了13名社区药剂师的观点,以确定障碍并提出解决方案,以加强他们在患者护理中的作用。药剂师强调了他们在确保安全用药方面的关键地位,特别是对于管理多种慢性病的老年人。主要研究结果揭示了五个主题:(1)将用药安全定义为将风险降至最低并赋予患者权力;(2)“完美患者”的特征,包括用药意识和积极参与;(3)药剂师在发现和解决与用药相关问题方面的作用;(4)系统性障碍,如时间限制、无法获取患者记录、隐私不足以及对药剂师角色的低估;(5)提出的解决方案,包括私人咨询区域、增加人员配备、集成电子健康记录以及立法认可药剂师作为医疗服务提供者。加强与医生的合作以及通过教育赋予患者权力也被强调为关键策略。这些研究结果强调了进行系统性变革的必要性,特别是鉴于在疫情期间吸取的教训,以支持药剂师提供全面的用药管理并提高患者安全性。

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本文引用的文献

[1]
Improving Medication Safety Through Medication Reconciliation in Pediatric Neurology: Clinical Pharmacist Recommendations and Physician Uptake in a 13-Week Study.

Children (Basel). 2025-5-12

[2]
Pharmacist interventions to improve medication adherence in patients with co-morbid hypertension and diabetes: a scoping review and bibliometric analysis.

Int J Pharm Pract. 2025-4-15

[3]
The impact of interprofessional collaboration between pharmacists and community health workers on medication adherence: a systematic review.

Int J Equity Health. 2025-2-28

[4]
Expanding pharmacist scope with an inpatient collaborative practice agreement to improve care quality and efficiency.

Am J Health Syst Pharm. 2025-4-16

[5]
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.

BMJ Qual Saf. 2024-12-13

[6]
Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

Expert Opin Drug Saf. 2022-11

[7]
Implementing pharmacists' medication safety recommendations is associated with reduced health care resource utilization and mortality in high-risk older Americans.

J Am Pharm Assoc (2003). 2023

[8]
Impact of Patient Engagement on Healthcare Quality: A Scoping Review.

J Patient Exp. 2022-9-16

[9]
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals.

J Patient Saf. 2022-12-1

[10]
An exploration of barriers, facilitators, and practical solutions for adopting medication synchronization into community pharmacies: A qualitative analysis.

Explor Res Clin Soc Pharm. 2022-2-3

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