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首页> 外文期刊>The International journal of pharmacy practice >Clinical pharmacy workload in medical and surgical patients: effect of patient partition, disease complexity and Major Disease Category
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Clinical pharmacy workload in medical and surgical patients: effect of patient partition, disease complexity and Major Disease Category

机译：内科和外科患者的临床药房工作量：患者划分，疾病复杂性和主要疾病类别的影响

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Objectives The aim of this study was to measure the time spent providing clinical pharmacy services to individual patient episodes for general medical and surgical patients and to measure the effect of patient presentation and complexity on this workload. Methods We conducted a 5-month study at The Northern Hospital and Western Hospital in Melbourne, Australia, during 2006. Pharmacists recorded a defined range of activities that they provided for individual patients, including the actual times required for these tasks. A customised database, linked to the two hospitals' patient administration systems, stored these data according to the specific patient episode number. We then examined the influence of patient presentation and complexity on clinical pharmacy activities provided. Key findings During intervals when pharmacists recorded the time required to conduct activities, the average time required to perform the medication history and reconciliation exercise on 3052 occasions was 9.6 +- 4.5 min. The 1844 interventions required an average of 5.9 +-3.0 min, clinical review of the patient's medical record required 5.5 +- 2.7 min and medication order review required 3.5 +- 1.3 min. For all of these activities, the time required was greater for medical patients than for surgical patients and greater for patients whose Diagnosis Related Group classification included a complication or co-morbidity. The average time required to perform all clinical pharmacy activities for 4625 completed patient episodes was 22.4 +- 16.7 min and was again greater for medical patients and for patients with a complication or co-morbidity. Conclusions The times required to perform a range of clinical pharmacy activities for individual patients was affected by whether the patients were medical or surgical patients. Furthermore, the existence of co-morbidities or complications affected these times. The methodology has potential application for other patient presentations and in other practice settings.
机译：目的这项研究的目的是测量为普通医疗和外科手术患者的个体发作提供临床药房服务所花费的时间，并测量患者表现和复杂性对该工作量的影响。方法2006年，我们在澳大利亚墨尔本的北方医院和西部医院进行了为期5个月的研究。药剂师记录了他们为个别患者提供的明确活动范围，包括这些任务所需的实际时间。连接到两家医院的患者管理系统的定制数据库根据特定的患者发作次数存储了这些数据。然后，我们检查了患者陈述和复杂性对所提供的临床药学活动的影响。主要发现在药剂师记录开展活动所需时间的时间间隔内，在3052次情况下执行用药史和和解锻炼所需的平均时间为9.6±4.5分钟。 1844年的干预平均需要5.9 + -3.0分钟，对患者病历的临床检查需要5.5 +-2.7分钟，而用药顺序检查需要3.5 +-1.3分钟。对于所有这些活动，医疗患者比外科手术患者需要更长的时间，而诊断相关组分类为并发症或合并症的患者则需要更多的时间。完成4625次完整的患者发作所需的全部临床药学活动的平均时间为22.4±16.7分钟，对于医疗患者以及有并发症或合并症的患者来说，平均时间更长。结论对个体患者进行一系列临床药学活动所需的时间受到患者是内科还是外科患者的影响。此外，合并症或并发症的存在影响了这些时期。该方法在其他患者演示和其他实践环境中具有潜在的应用价值。

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