Impact of Pharmacist Interventions at an Outpatient US Coast Guard Clinic.

Fengyee Zhou, Zachary Woodward
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Abstract

Background: US Coast Guard (USCG) active-duty service members (ADSMs) are required to maintain medical readiness to maximize operational success. USCG pharmacists serve the traditional pharmacist role while maintaining oversight of regional pharmaceutical services. This study aimed to quantify the number, duty status impact, and replicability of medication interventions made by one pharmacist at the USCG Base Alameda clinic in California over 6 months.

Methods: Medication interventions made at the USCG Base Alameda clinic from July 1, 2021, to December 31, 2021, were categorized as a drug therapy problem (DTP) or non-DTP. Each DTP was further evaluated in a retrospective record review by a panel of USCG pharmacists to assess 2 additional factors: duty status severity (potential to affect duty status) and replicability (potential for the same intervention to be made in the absence of access to the patient health record).

Results: USCG Base Alameda pharmacy dispensed 1751 prescriptions and made 116 interventions (7%), of which 111 (96%) were accepted by the prescriber. Of the interventions, 64 (55%) were DTPs, and 14 of those (22%) had potential to change duty status, and 18 DTPs (28%) were made because the pharmacist had access to the health record.

Conclusions: Pharmacists' role in USCG clinics includes collaborating with the patient care team to make medication interventions that have significant impact on ADSMs' wellness and the USCG mission.

美国海岸警卫队门诊部药剂师干预措施的影响。
背景:美国海岸警卫队(USCG)现役军人(ADSM)需要保持医疗准备状态,以最大限度地提高作战成功率。南加州大学药剂师在履行传统药剂师职责的同时,对区域药品服务进行监督。本研究旨在量化加利福尼亚州阿拉米达USCG基地诊所一名药剂师在6个月内进行的药物干预的数量、职责状态影响和可复制性。方法:2021年7月1日至2021年12月31日在南加州大学阿拉米达基地诊所进行的药物干预被归类为药物治疗问题(DTP)或非DTP。USCG药剂师小组在回顾性记录审查中对每个DTP进行了进一步评估,以评估2个额外因素:职责状态的严重性(可能影响职责状态)和可复制性(在无法访问患者健康记录的情况下可能进行相同干预)。结果:USCG基地阿拉米达药房开出了1751张处方,进行了116次干预(7%),其中111例(96%)被处方医生接受。在干预措施中,64项(55%)是DTP,其中14项(22%)有可能改变职责状态,18项(28%)是因为药剂师可以访问健康记录而进行的。结论:药剂师在USCG诊所的作用包括与患者护理团队合作,进行药物干预,对ADSM的健康和USCG使命产生重大影响。
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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