Evaluation and redesign of an internal medicine pharmacy practice model at a tertiary care hospital.

IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Alexandra Brant, Ramone Boyd, Dan Lewis, Bob Milnes
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引用次数: 0

Abstract

Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

Purpose: Clinical pharmacists are embedded into the care for patients admitted to internal medicine floors at Cleveland Clinic. The existing practice model utilized by the internal medicine pharmacy team had an uneven distribution of clinical activities among the various pharmacist roles. A study was completed to evaluate a potential adjustment to the pharmacy practice model. The objective of this study was to assess the type and quantity of clinical activities performed by each pharmacist role. These data were then utilized to evaluate the need for redistribution of care activities among the pharmacist roles and to determine the need for additional pharmacist full-time equivalents.

Methods: From January to February 2023, data pertaining to the amount and type of clinical activities completed by the 9 internal medicine pharmacist roles was either manually collected or extracted from the electronic medical record. The data were then utilized to calculate a responsibility score for each role. Descriptive statistics were also calculated to assess the results.

Results: Each pharmacist role cared for an average of 34.4 patients (minimum, 24.4; maximum, 57.7) during the study period. The average responsibility score for each pharmacist role was 309.8 (minimum, 237.5; maximum, 447.8).

Conclusion: On the basis of the data collected during the 4-week study period, a new pharmacy practice model was developed that incorporated 2 additional full-time equivalents. This model balanced patient care responsibilities among the pharmacist roles and moved the practice model from a location-based to a team-based coverage model.

评估和重新设计一家三级医院的内科药房实践模式。
免责声明:为了加快文章的发表,AJHP在接受稿件后会尽快将其发布到网上。被录用的稿件已经过同行评审和校对,但在进行技术格式化和作者校对之前会在网上发布。目的:临床药剂师被纳入克利夫兰诊所内科楼层病人的护理中。内科药剂师团队采用的现有实践模式在不同药剂师角色之间的临床活动分配不均。我们完成了一项研究,以评估对药房实践模式进行调整的可能性。这项研究的目的是评估每个药剂师角色所从事的临床活动的类型和数量。然后利用这些数据评估在药剂师角色之间重新分配护理活动的必要性,并确定是否需要增加相当于全职药剂师的人数:方法:从 2023 年 1 月到 2 月,人工收集或从电子病历中提取了与 9 个内科药剂师角色所完成的临床活动的数量和类型有关的数据。然后利用这些数据计算出每个角色的责任分值。此外,还计算了描述性统计来评估结果:研究期间,每个药剂师角色平均护理 34.4 名患者(最少 24.4 名,最多 57.7 名)。每个药剂师角色的平均责任分值为 309.8(最低 237.5;最高 447.8):根据 4 周研究期间收集到的数据,我们开发了一种新的药房实践模式,其中增加了 2 名全职药剂师。该模式平衡了药剂师的病人护理责任,并将实践模式从基于地点的覆盖模式转变为基于团队的覆盖模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
18.50%
发文量
341
审稿时长
3-8 weeks
期刊介绍: The American Journal of Health-System Pharmacy (AJHP) is the official publication of the American Society of Health-System Pharmacists (ASHP). It publishes peer-reviewed scientific papers on contemporary drug therapy and pharmacy practice innovations in hospitals and health systems. With a circulation of more than 43,000, AJHP is the most widely recognized and respected clinical pharmacy journal in the world.
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