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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Medication Reconciliation Practices in Canadian Emergency Departments: A National Survey
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Medication Reconciliation Practices in Canadian Emergency Departments: A National Survey

机译：加拿大急诊部门中的药物和解实践：国家调查

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Background: As of 2015, Accreditation Canada's Qmentum program expects emergency departments (EDs) to initiate medication reconciliation for 2 groups of patients: (1) those with a decision to admit and (2) those without a decision to admit who meet the criteria of a risk-based, health care organization—defined selection process. Pharmacist-led best possible medication histories (BPMHs) obtained in the ED are considered more complete and accurate than BPMHs obtained by other ED providers, with pharmacy technicians obtaining BPMHs as effectively as do pharmacists. A current assessment of the role of pharmacy in BPMH processes in Canadian EDs is lacking. Objectives: To identify and describe BPMH and medication reconciliation practices in Canadian EDs, including those performed by members of the ED pharmacy team. Methods: All Canadian hospitals with an ED and at least 50 acute care beds were contacted to identify the presence of dedicated ED pharmacy services (defined as at least a 0.5 full-time equivalent position). Different electronic surveys were then distributed to ED pharmacy team members (where available) and ED managers (all hospitals). Results: Survey responses were obtained from 60 (63%) of 95 ED pharmacy teams and 128 (53%) of 243 ED managers. Only 38 (30%) of the 128 ED managers believed that their current BPMH processes were adequate to obtain a BPMH for all admissions. Fifty-nine (98%) of the ED pharmacy personnel reported obtaining BPMHs (most commonly 6-10 per day), with priority given to admitted patients. Only 14 (23%) of the 60 ED pharmacy teams reported that their EDs had adequate staffing to comply with Accreditation Canada's requirements for obtaining BPMHs. This result is supported by the 104 (81%) out of 128 ED managers who reported that additional ED staffing would be needed to comply with the requirements. Numerous ED managers identified the need to expand ED pharmacy services and improve information technology support. Conclusions: BPMH processes in Canadian EDs were variable and inadequately supported. Survey responses suggested that additional staff and significant improvements in structured processes would be required to meet Accreditation Canada standards.
机译：背景：截至2015年，保证加拿大的QMentum计划预计应急部门（EDS）为2组患者启动药物和解：（1）决定承认和（2）那些没有决定承认谁承认谁达到谁的标准基于风险的医疗保健组织定义的选择过程。在ED中获得的药剂师LED最佳药物历史（BPMH）被认为比其他ED提供商获得的BPMH更完整，准确，药房技术人员与药剂师那么有效地获得BPMHS。目前对药房在加拿大EDS中的BPMH过程中的作用的评估缺乏。目标：识别和描述加拿大EDS中的BPMH和药物和解实践，包括由ED药房团队成员执行的人。方法：联系所有加拿大医院和至少50名急性护理床，以确定专用ED药房服务的存在（定义为至少0.5个全职等效位置）。然后将不同的电子调查分发给Ed Pharmacy团队成员（可用）和ED经理（所有医院）。结果：调查响应从60名（63％）的95 ED药房团队和243名ED经理人中的128名（53％）获得。只有38个（30％）的128埃德经理人认为，他们目前的BPMH流程足以获得所有入院的BPMH。第五十九（98％）的ED药学人员报告获得BPMHS（最常见的每天6-10），优先考虑录取患者。 60 ED药房团队中只有14个（23％）报告说，他们的EDS有足够的人员配置，以遵守加拿大获得BPMH的认证要求。该结果由128名ED经理人提供的104（81％）支持，他们报告需要额外的ED人员配置来遵守要求。众多ED管理人员确定了需要扩展ED药房服务并提高信息技术支持。结论：加拿大EDS中的BPMH流程是可变的，也是不充分的支持。调查答复表明，需要额外的员工和结构性流程的重大改进，以满足加拿大标准的认证。

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