Tools and tactics for postdischarge medication management interventions.
Tools and tactics for postdischarge medication management interventions.
复制标题
出院后药物管理干预的工具和策略。
DOI：
10.1093/ajhp/zxab010
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Schnipper,JeffreyL
中科院分区：
文献类型：
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作者：
Pevnick,JoshuaM;Anderson,LauraJ;Chirumamilla,Siri;Luong,DuongD;Noh,LydiaE;Palmer,Katherine;Amer,Kallie;Shane,RitaR;Nuckols,TerylK;Lesser,RachelB;Schnipper,JeffreyL
目的为组织药师领导和一线药房工作人员确定干预措施，以优化出院前后的用药管理。技术专家小组对干预措施进行了审查，并将其归类为工具或战术。确定的工具是用于执行不同操作的图表、流程图、列表、表格和模板等工具，而确定的策略反映了更广泛的方法(例如，减少剂量频率)。工具和策略的选择是基于它们改善出院后用药管理的潜力，重点是由药房工作人员领导的干预措施，这些干预措施可能会减少老年、病情较重的患者的再次住院。总体而言，确定了23种工具和2种战术。确定的工具包括教育、短信和电话等项目。确定的策略是剂量简化和货币激励。结论有多种工具和策略可用于优化出院前后的用药管理。组织药剂师-领导和一线药房工作人员可以实施这些干预措施，以改善患者的预后。
PurposeTo identify interventions for organizational pharmacist-leaders and frontline pharmacy staff to optimize peri- and postdischarge medication management.SummaryAn evidence-based toolkit was systematically constructed on the basis of findings of 3 systematic overviews of systematic reviews. The interventions were reviewed by a technical expert panel and categorized as either tools or tactics. The identified tools are instruments such as diagrams, flow charts, lists, tables, and templates used in performing a distinct operation, whereas identified tactics reflect broader methods (eg, reduced dosing frequency). Tools and tactics were chosen on the basis of their potential to improve postdischarge medication management, with a focus on interventions led by pharmacy staff that may reduce hospital readmissions among older, sicker patients. Overall, 23 tools and 2 tactics were identified. The identified tools include items such as education, text messaging, and phone calls. The tactics identified are dose simplification and monetary incentives. Practical information has also been provided to facilitate implementation.ConclusionSeveral tools and tactics are available to optimize peri- and postdischarge medication management. Organizational pharmacist-leaders and frontline pharmacy staff can implement these interventions to improve patient outcomes.