Work patterns of ambulatory care pharmacists with access to electronic guideline-based treatment suggestions.
Work patterns of ambulatory care pharmacists with access to electronic guideline-based treatment suggestions.
复制标题
门诊药剂师的工作模式可以获取基于电子指南的治疗建议。
DOI：
10.1093/ajhp/56.3.225
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Tierney,WM
中科院分区：
文献类型：
--
作者：
Murray,MD;Loos,B;Tu,W;Eckert,GJ;Zhou,XH;Tierney,WM
为研究电子显示基于指南的、针对患者的治疗建议对药师工作模式的影响，将28名来自某医院门诊药房的药师随机分为干预组和对照组。干预组可以获得心力衰竭、缺血性心脏病、反应性气道疾病和无并发症高血压的电子治疗建议，而对照组没有。从最初显示治疗建议后的9个月和19个月开始，所有药剂师记录了他们在各种活动上花费的时间，每个活动的目的以及活动期间接触的人员;这些观察结果是根据一个类似寻呼机的设备记录的，该设备每小时随机发送四次。与对照组相比，干预组的药剂师花在讨论信息、建议和通知以及解决问题上的时间明显更多，但检查和填写处方的时间明显更少。两组的药剂师都单独完成了大部分工作，但干预组的药剂师自己工作的时间明显更少，而与其他药剂师、患者、在配药时向药剂师提供患者特定信息对药剂师的工作模式有显著的积极影响。
The effects of the electronic display of guideline-based, patient-specific treatment suggestions on pharmacist work patterns were studied.A total of 28 pharmacists at a hospital-based ambulatory care pharmacy were randomly assigned to intervention and control groups. The intervention group had access to electronic treatment suggestions for heart failure, ischemic heart disease, reactive airways disease, and uncomplicated hypertension, while the control group did not. Starting 9 and 19 months after the initial display of treatment suggestions, all pharmacists recorded the time they spent on a variety of activities, the purpose of each activity, and persons contacted during the activity; these observations were recorded in response to a pager-like device that randomly buzzed four times an hour.A total of 11,102 observations were recorded. Pharmacists in the intervention group spent significantly more of their time discussing information, advising and informing, and solving problems than pharmacists in the control group but significantly less of their time checking and filling prescriptions.Pharmacists in both groups completed a majority of their work alone, but pharmacists in the intervention group worked significantly less by themselves and significantly more with other pharmacy personnel, patients, and physicians and nurses than control-group pharmacists.The delivery of patient-specific information to pharmacists at the time of dispensing had a significant positive impact on pharmacist work patterns.