Rough S S, Reid-Ganske L M, Thielke T S, Ploetz P A
Hospital Pharmacy Administration, University of Wisconsin Hospital and Clinics (UWHC), Madison, USA.
Am J Health Syst Pharm. 1996 Aug 15;53(16):1928-33. doi: 10.1093/ajhp/53.16.1928.
A new staffing model for decentralized pharmacists and support staff at a university hospital is described. A new technical support position--the pharmacist assistant--was created, and activities were reallocated among the pharmacists, pharmacist assistants, and pharmacy technicians according to the recommendations of two total quality management teams. Pharmacist assistants were to perform many of the drug distribution and record-keeping functions previously performed by pharmacists. The activities marked for reallocation accounted for about 50% of pharmacist time in the existing staffing model; they would not be performed by experienced pharmacy technicians who received brief training to be pharmacist assistants. Nine pharmacists and nine technicians tested the new staffing model on four patient care units over a four-week period. The reassignment of pharmacist tasks to pharmacist assistants theoretically gave pilot-unit pharmacists more time for providing and documenting patient-specific clinical activities and an additional 12 hours a week to participate in such global patient care activities as critical-pathway and quality improvement meetings. By the end of the study, the pharmacist assistants demonstrated that they could perform the reassigned activities; however, the pharmacists were not yet confident in the assistants' ability to do so. A pilot study of a new decentralized pharmacy staffing model demonstrated that technical support personnel can perform many distributive and record-keeping activities traditionally performed by decentralized pharmacists.
本文描述了一所大学医院为分散配置的药剂师及辅助人员建立的一种新的人员配置模式。设立了一个新的技术支持岗位——药剂师助理，并根据两个全面质量管理团队的建议，在药剂师、药剂师助理和药房技术员之间重新分配了工作。药剂师助理将承担以前由药剂师执行的许多药品分发和记录保存职能。重新分配的工作在现有人员配置模式中约占药剂师工作时间的50%；接受过简短培训成为药剂师助理的经验丰富的药房技术员不会承担这些工作。9名药剂师和9名技术员在四个患者护理单元对新的人员配置模式进行了为期四周的测试。从理论上讲，将药剂师的任务重新分配给药剂师助理，使试点单元的药剂师有更多时间提供并记录针对患者的临床活动，每周还能额外抽出12小时参与诸如关键路径和质量改进会议等整体患者护理活动。到研究结束时，药剂师助理证明他们能够完成重新分配的工作；然而，药剂师对助理完成这些工作的能力仍缺乏信心。一项关于新的分散式药房人员配置模式的试点研究表明，技术支持人员能够承担传统上由分散配置的药剂师执行的许多分发和记录保存活动。
