Hunter K A, Dormaier G K
Washington State University College of Pharmacy, Spokane, USA.
Clin Ther. 1995 May-Jun;17(3):534-40; discussion 516. doi: 10.1016/0149-2918(95)80119-7.
In an effort to provide cost-effective pharmaceutical care at a 650-bed community hospital, a pharmacist-managed intravenous to oral step-down program was developed and implemented. As part of this program, satellite pharmacists review daily the charts of patients receiving 1 or more of 10 targeted drugs given intravenously. Based on a predetermined set of criteria and their clinical judgment, pharmacists recommend that physicians switch to the oral formulation of the targeted drugs if appropriate. This program has been in place for 7 months, during which time 223 recommendations were made. Of these recommendations, 190 were accepted and implemented, resulting in a cost savings of $21,596.00. When annualized, the expected savings is $37,000.00 or nearly the salary of one full-time pharmacist. This program has been well accepted by physicians and pharmacists. It appears to be having a positive impact on physician awareness of using oral medications when appropriate.
为了在一家拥有650张床位的社区医院提供具有成本效益的药学服务，制定并实施了一项由药剂师管理的静脉给药转口服的降阶梯计划。作为该计划的一部分，驻点药剂师每天审查接受10种目标静脉用药中1种或更多种药物治疗的患者病历。根据预先设定的标准和他们的临床判断，药剂师会在适当情况下建议医生改用目标药物的口服制剂。该计划已实施7个月，在此期间共提出了223项建议。其中190项建议被接受并实施，节省成本21,596.00美元。按年度计算，预计节省金额为37,000.00美元，几乎相当于一名全职药剂师的年薪。该计划得到了医生和药剂师的广泛认可。它似乎对医生在适当时候使用口服药物的意识产生了积极影响。
