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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Evaluation of an Educational Intervention for Pharmacist Documentation Practices in a Tertiary Care Hospital
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Evaluation of an Educational Intervention for Pharmacist Documentation Practices in a Tertiary Care Hospital

机译：评估高等教育医院药剂师文件实践教育干预

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Background: Timely and effective communication between heath care providers is an essential component of patient care. This is applicable to pharmacist drug therapy interventions as well as patient counseling activities. Pharmacist documentation in the health record will be a key component to the acceptance of pharmacist expanded scope activities in the hospital setting. Description: Documentation practices of pharmacists were evaluated in 2014 for baseline data. An educational intervention was designed in consultation with Pharmacy Professional Practice Committee (PPPC). Documentation practices were re-evaluated one year after the baseline data collection. Action: A workload measurement tool was used to identify pharmacists interventions and a corresponding selection of charts was reviewed in 2014. Interventions were analyzed using a modified version of the Canadian Society of Hospital Pharmacists (CSHP) document: "Tool to Evaluate Pharmacists Skills for Documentation in the Health Record". Rate of documentation was determined. After the first year's resu an educational intervention was designed and administered. A 10 week long series of educational "e-blasts" was administered twice prior to re-evaluating the intervention. A sampling of charts was audited in 2015 using the same methods and tool as the previous year. Evaluation: Twenty-seven percent of the patient health records included pharmacist documentation; which represents a 4% decrease from the previous year. Reasons for documentation included clarifications and pharmacy suggestions. Clinical progress notes were absent and the majority of notes were written in the physician's order section. Implications: An educational intervention was designed at the suggestion of the PPPC to address perceived barriers of lack of knowledge on documentation standards and to provide guidance for documentation in commonly encountered scenarios. This passive method of intervention failed to increase rate or quality of documentation by pharmacists. A more pro-active method of education and audit will be designed for the next year.
机译：背景：Heath Care提供者之间的及时和有效沟通是患者护理的重要组成部分。这适用于药剂师药物治疗干预措施以及患者咨询活动。健康记录中的药剂师文件将是接受药剂师扩大医院环境范围活动的关键组成部分。描述：在2014年评估药剂师的文档实践，用于基线数据。教育干预是与药房专业实践委员会（PPPC）协商设计的。文档实践在基线数据收集后一年重新评估。行动：使用工作负载测量工具来识别药剂师的干预措施，并在2014年审查了相应的图表。利用加拿大医院药剂师（CSHP）文件的修改版本分析了干预措施：“工具，以评估药品专业技能的文档技能技能在健康记录“。确定了文件率。在第一年的结果之后;设计和管理教育干预。在重新评估干预之前，在重新评估干预之前进行两次10周的教育“电子爆炸”。 2015年使用与前一年的方法和工具在2015年进行了采样。评价：二十七名患者健康记录包括药剂师文件;这比上年减少了4％。文件的原因包括澄清和药学建议。临床进展笔记缺席，大多数笔记是在医生的秩序部分中写的。含义：教育干预是在PPPC的建议下设计了对文件标准缺乏知识的感知障碍，并为常见的情景提供指导。这种无源干预方法未能增加药剂师的汇率或质量。将在明年设计更加积极的教育和审计方法。

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