Pharmacist-generated electronic consults to improve hypertension management in a multisite health centre: pilot study.

Informatics in Primary Care Pub Date : 2012-01-01 DOI:10.14236/jhi.v20i3.23

Marissa Salvo, Stefanie C Nigro, Deborah Ward

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引用次数: 7

Abstract

Background: Utilisation of the electronic medical record (EMR) is believed to facilitate timely access to patient information, enhance communication between care team members and further promote clinical decision support.

Objective: To determine if pharmacist-generated electronic consults (e-consults) improve blood pressure control among patients with uncontrolled hypertension in a multisite health centre.

Methods: Pharmacists generated hypertension medication e-consults with review by primary care provider (PCP) during the patient appointment. We conducted a retrospective review of consults to determine types of pharmacist recommendations, PCP acceptance rates, and blood pressure changes.

Results: Pharmacists generated a total of 60 e-consults, 41 patients with a systolic blood pressure above their respective goal; e-consults were accepted 46% ( n = 19) of the time.

Conclusion: This pilot project demonstrates a unique way for pharmacists to proactively utilise the EMR when delivering coordinated care within a multisite health centre. In addition, pharmacists were successfully integrated into the planned care approach.

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药剂师生成的电子咨询以改善多站点健康中心的高血压管理:试点研究。

背景:使用电子病历(EMR)被认为有助于及时获取患者信息，加强护理团队成员之间的沟通，并进一步促进临床决策支持。目的:确定药师生成的电子问诊(e-consults)是否能改善多站点健康中心未控制的高血压患者的血压控制。方法:药师在患者预约时生成高血压药物电子问诊单，并由初级保健医生(PCP)审核。我们对咨询进行了回顾性审查，以确定药剂师建议的类型、PCP接受率和血压变化。结果:药师共生成60个电子会诊，41例患者收缩压高于各自目标;电子咨询的接受率为46% (n = 19)。结论:该试点项目展示了药剂师在多站点卫生中心提供协调护理时主动利用电子病历的独特方式。此外，药剂师成功地融入了计划护理方法。

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

Informatics in Primary Care

自引率

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审稿时长

14 weeks