在社区教学医院实施药学技术人员驱动、技术辅助的最终产品验证程序。

IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Bryanna M Dunston, Steven A Sohasky, Lindy M Farwig, Benjamin D Kulwicki
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引用次数: 0

摘要

免责声明:为了加快文章的发表,AJHP在接受稿件后将尽快在网上发布。被接受的稿件已经过同行评审和编辑,但在技术格式化和作者校对之前会在网上发布。这些手稿不是记录的最终版本,稍后将被最终文章(按照AJHP风格格式化并由作者校对)所取代。目的:技术辅助最终产品验证(TAFPV)是指持照药房技术人员使用条形码扫描等技术验证他人工作的过程。与TCT类似,TAFPV要求在最终验证过程中使用技术。截至2024年,有28个州允许这种做法。2021年10月,密歇根州药学委员会通过了在该州实施TAFPV的津贴。本报告描述了TAFPV计划的实施及其对药房运营的影响。摘要:在技术和现场准备评估之后,在一家社区教学医院实施了TAFPV计划。实施后3个月,4193份填好的药单由经过验证的药学技术人员(vpt)验证,准确率为100%。经验证,VPTs发现了57个配药错误。VPTs从药品采购到最终验证的中位时间为138秒(四分位数差[IQR], 53 ~ 465),药师为218秒(四分位数差[IQR], 39 ~ 736) (P = 0.01)。vpt和药师每天验证医嘱的平均(SD)时间分别为4.57(0.12)小时和4.53(0.14)小时(P = 0.97)。结论:TAFPV项目的实施提高了住院药房的运营效率,同时保证了用药安全。未来的研究领域包括衡量药剂师利用从TAFPV项目中重新分配的时间提供的临床服务的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of a pharmacy technician-driven, technology-assisted final product verification program at a community teaching hospital.

Purpose: Technology-assisted final product verification (TAFPV) is a process whereby a licensed pharmacy technician validates the work of another using a technology such as barcode scanning. While similar to tech-check-tech (TCT), TAFPV requires that technology is utilized in the final verification process. As of 2024, 28 states allowed this practice. In October 2021, the Michigan Board of Pharmacy passed allowances for TAFPV to be conducted in the state. This report describes the implementation of a TAFPV program and its impact on pharmacy operations.

Summary: Following technology and site readiness assessments, a TAFPV program was implemented at a community teaching hospital. Three months post implementation, 4,193 filled medication orders were verified by validated pharmacy technicians (VPTs) with 100% accuracy. Fifty-seven dispensing errors were identified by VPTs upon verification. The median time from medication procurement to final verification for VPTs was 138 seconds (interquartile range [IQR], 53-465) compared to 218 (IQR, 39-736) for pharmacists (P = 0.01). The mean (SD) amount of time spent verifying medication orders daily was 4.57 (0.12) hours for VPTs and 4.53 (0.14) hours for pharmacists (P = 0.97).

Conclusion: Implementation of a TAFPV program improved inpatient pharmacy operational efficiencies while preserving medication safety. A future area of study includes measuring the impact of clinical services provided by pharmacists utilizing the reallocated time from the TAFPV program.

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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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