Evaluating Pharmacists' Time Collecting Self-Monitoring Blood Glucose Data.

Cassie Perdew, Elaine Nguyen
{"title":"Evaluating Pharmacists' Time Collecting Self-Monitoring Blood Glucose Data.","authors":"Cassie Perdew, Elaine Nguyen","doi":"10.12788/fp.0388","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients on intensive insulin regimens are encouraged to self-monitor blood glucose (SMBG) to optimize their therapy. Clinical pharmacist practitioners (CPPs) use SMBG data to adjust diabetes medications; however, collecting SMBG data from patients is seen anecdotally as time intensive.</p><p><strong>Methods: </strong>CPPs involved in diabetes management on primary care teams at the Boise Veterans Affairs Medical Center in Idaho were asked to estimate and record the following: SMBG data collection method, time spent collecting data, extra time spent documenting or formatting SMBG readings, total patient visit time, and visit type. For total patient visit time, pharmacists were asked to estimate only time spent discussing diabetes care and collecting SMBG data. Data were collected for 1 week using a standardized spreadsheet distributed to 24 CPPs.</p><p><strong>Results: </strong>Eight pharmacists provided data from 120 patient encounters. For all encounters, the mean time spent collecting SMBG data was 3.3 minutes, and completing additional documentation/formatting was 1.3 minutes for a total of 4.6 minutes. Patient visits lasted a mean 20.1 minutes; 16% was spent on data collection and 6% on documentation and formatting.</p><p><strong>Conclusions: </strong>At the Boise Veterans Affairs Medical Center, CPPs spend relatively little time per patient collecting SMBG data for clinical use. However, this time can be substantial when multiplied over several patient encounters. Opportunities exist to increase efficiency in SMBG data collection and documentation.</p>","PeriodicalId":94009,"journal":{"name":"Federal practitioner : for the health care professionals of the VA, DoD, and PHS","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11132189/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Federal practitioner : for the health care professionals of the VA, DoD, and PHS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12788/fp.0388","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/22 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Patients on intensive insulin regimens are encouraged to self-monitor blood glucose (SMBG) to optimize their therapy. Clinical pharmacist practitioners (CPPs) use SMBG data to adjust diabetes medications; however, collecting SMBG data from patients is seen anecdotally as time intensive.

Methods: CPPs involved in diabetes management on primary care teams at the Boise Veterans Affairs Medical Center in Idaho were asked to estimate and record the following: SMBG data collection method, time spent collecting data, extra time spent documenting or formatting SMBG readings, total patient visit time, and visit type. For total patient visit time, pharmacists were asked to estimate only time spent discussing diabetes care and collecting SMBG data. Data were collected for 1 week using a standardized spreadsheet distributed to 24 CPPs.

Results: Eight pharmacists provided data from 120 patient encounters. For all encounters, the mean time spent collecting SMBG data was 3.3 minutes, and completing additional documentation/formatting was 1.3 minutes for a total of 4.6 minutes. Patient visits lasted a mean 20.1 minutes; 16% was spent on data collection and 6% on documentation and formatting.

Conclusions: At the Boise Veterans Affairs Medical Center, CPPs spend relatively little time per patient collecting SMBG data for clinical use. However, this time can be substantial when multiplied over several patient encounters. Opportunities exist to increase efficiency in SMBG data collection and documentation.

评估药剂师收集自我血糖监测数据的时间。
背景:我们鼓励接受胰岛素强化治疗的患者自我监测血糖 (SMBG),以优化治疗。临床药剂师(CPPs)利用 SMBG 数据来调整糖尿病药物;然而,从患者那里收集 SMBG 数据据说需要花费大量时间:方法:要求爱达荷州博伊西退伍军人事务医疗中心初级医疗团队中参与糖尿病管理的 CPP 估算并记录以下内容:SMBG 数据收集方法、用于收集数据的时间、用于记录或格式化 SMBG 读数的额外时间、患者就诊总时间以及就诊类型。对于访问患者的总时间,药剂师只需估计讨论糖尿病护理和收集 SMBG 数据所花费的时间。使用分发给 24 位 CPP 的标准化电子表格收集了为期一周的数据:结果:8 位药剂师提供了 120 次患者就诊的数据。在所有会诊中,收集 SMBG 数据的平均时间为 3.3 分钟,完成其他文档/格式化的平均时间为 1.3 分钟,总计 4.6 分钟。患者就诊时间平均为 20.1 分钟;其中 16% 用于收集数据,6% 用于记录和格式化:在博伊西退伍军人事务医疗中心,CPP 为每位患者收集用于临床的 SMBG 数据所花费的时间相对较少。但是,如果将这一时间乘以多个病人的就诊时间,时间就会非常可观。提高 SMBG 数据收集和记录效率的机会是存在的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信