Lipman A G, Bair J N, Hibbard F J, Bosso J A, Russo J
Am J Hosp Pharm. 1979 Nov;36(11):1513-9.
The decentralization of pharmaceutical services without the addition of pharmacy satellites is described. Mobile, master medication carts are used by pharmacy personnel in the patient-care areas to fill the unit dose carts used by nurses. A combination medication administration record and patient profile eliminates duplication of effort by pharmacy and nursing. Responsibilities of pharmacists and technicians, the process of hospital-wide implementation of the system, current levels of service, and a clerkship designed to improve staff pharmacists' clinical abilities are described. The ratio of the number of drug doses administered to the number of drug doses handled per patient-day increased after the implementation of the new system. This indicated that individual doses were handled fewer times by pharmacy personnel. This method of decentralization permitted integration of distributive and clinical pharmaceutical services with a minimal personnel cost increase, no additional space requirements nor expenditures for renovation, and only a small cost for master medication carts. Because the pharmacists work in the patient-care areas, they are in more frequent contact with nurses, physicians and patients.
本文描述了在不增设药房卫星点的情况下，药品服务的分散化模式。药房工作人员在患者护理区域使用移动主药车来为护士使用的单剂量药车补货。联合用药管理记录和患者档案避免了药房和护理工作的重复劳动。文中介绍了药剂师和技术人员的职责、该系统在全院范围内的实施过程、当前的服务水平，以及为提高药剂师临床能力而设计的实习项目。新系统实施后，每位患者每天给药剂量数与处理的总剂量数之比有所增加。这表明药房人员处理单个剂量的次数减少了。这种分散化方法允许将分发和临床药学服务整合在一起，同时人员成本增加最少，无需额外空间，也无需翻新支出，仅主药车成本较低。由于药剂师在患者护理区域工作，他们与护士、医生和患者的接触更为频繁。
