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Use of pharmacy informatics resources by clinical pharmacy services in acute care hospitals

机译：急诊医院的临床药学服务对药学信息资源的利用

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Purpose. The use of pharmacy informatics resources by clinical pharmacy services and the presence of a pharmacy informatics specialist in acute care hospitals were evaluated.rnMethods. Two hundred randomly selected pharmacies in general medical and surgical hospitals in the United States with at least 100 acute care beds were surveyed via mail. Survey items gathered information regarding facility attributes, opinions about staff pharmacists' understanding of information technology, and departmental utilization of pharmacy informatics. Results. Of the 200 surveys mailed, 114 (57%) were returned completed. When asked to rate their departments' use of pharmacy informatics, 82% indicated that pharmacy informatics use was good or fair, while 12% considered information use to be optimized. A majority of respondents (60%) indicated that a pharmacy informatics specialist was employed within the pharmacy, with 47% indicating that the specialist was a pharmacist. An overwhelming percentage of these pharmacists received informatics training on the job, and roughly half had specialty positions integrated intorntheir pharmacist job description. No significant association existed between the use of pharmacy informatics and facility teaching status (teaching versus nonteaching), geographic location (urban versus rural), or use of computerized prescriber order entry. Employment of a pharmacy informatics specialist was significantly associated with the use of such informatics applications as database mining, renal-dosing-rules engines, antibiotic-pathogen matching-rules engines, and pharmacokinetic-monitoring rules engines.rnConclusion. The use of clinical pharmacy informatics in patient care in acute care hospitals with at least 100 beds was significantly more likely when a pharmacy informatics specialist was present in the pharmacy. However, 4 in 10 hospital pharmacies did not employ a pharmacy informatics specialist.
机译：目的。评估了临床药学服务机构对药学信息学资源的使用情况以及急诊医院中药学信息学专家的存在。方法通过邮件调查了美国普通医疗和外科医院中至少有100张急诊病床的200家随机选择的药房。调查项目收集了有关设施属性的信息，有关药剂师对信息技术的理解以及部门对药业信息学的利用的意见。结果。在邮寄的200份调查中，有114份（57％）已完成退还。当被要求对部门对药房信息学的使用进行评分时，有82％的人表示药房信息学的使用是良好或公平的，而12％的人认为信​​息使用得到了优化。大多数受访者（60％）表示该药房雇用了一名药学信息学专家，而47％的受访者表示该专家是药剂师。这些药剂师中有绝大部分接受了有关该职位的信息学培训，大约有一半的药剂师的职位描述中包含了专业职位。药房信息学的使用与设施教学状态（教学与非教学），地理位置（城市与农村）或计算机处方者输入之间没有显着关联。聘用药学信息学专家与诸如数据库挖掘，肾脏剂量规则引擎，抗生素-病原体匹配规则引擎以及药代动力学监测规则引擎等信息学应用的使用显着相关。当药房中有药房信息专家时，在至少有100张床位的急诊医院中，在患者护理中使用临床药房信息学的可能性要高得多。但是，十分之四的医院药房没有雇用药房信息学专家。

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