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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Quality of Best Possible Medication History upon Admission to Hospital: Comparison of Nurses and Pharmacy Students and Consideration of National Quality Indicators
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Quality of Best Possible Medication History upon Admission to Hospital: Comparison of Nurses and Pharmacy Students and Consideration of National Quality Indicators

机译：在入学医院的最佳药物历史的质量：护士和药学学生的比较和对国家质量指标的考虑

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Background: Medication reconciliation at transitions of care increases patient safety. Collection of an accurate best possible medication history (BPMH) on admission is a key step. National quality indicators are used as surrogate markers for BPMH quality, but no literature on their accuracy exists. Obtaining a high-quality BPMH is often labour- and resource-intensive. Pharmacy students are now being assigned to obtain BPMHs, as a cost-effective means to increase BPMH completion, despite limited information to support the quality of BPMHs obtained by students relative to other health care professionals.Objectives: To determine whether the national quality indicator of using more than one source to complete a BPMH is a true marker of quality and to assess whether BPMHs obtained by pharmacy students were of quality equal to those obtained by nurses.Methods: This prospective trial compared BPMHs for the same group of patients collected by nurses and by trained pharmacy students in the emergency departments of 2 sites within a large health network over a 2-month period (July and August 2016). Discrepancies between the 2 versions were identified by a pharmacist, who determined which party (nurse, pharmacy student, or both) had made an error. A panel of experts reviewed the errors and ranked their severity.Results: BPMHs were prepared for a total of 40 patients. Those prepared by nurses were more likely to contain an error than those prepared by pharmacy students (171 versus 43 errors, p = 0.006). There was a nonsignificant trend toward less severe errors in BPMHs completed by pharmacy students. There was no significant difference in the mean number of errors in relation to the specified quality indicator (mean of 2.7 errors for BPMHs prepared from 1 source versus 4.8 errors for BPMHs prepared from > 2 sources, p = 0.08).Conclusions: The surrogate marker (number of BPMH sources) may not reflect BPMH quality. However, it appears that BPMHs prepared by pharmacy students had fewer errors and were of similar quality (in terms of clinically significant errors) relative to those prepared by nurses.
机译：背景：护理过渡时的药物和解会增加患者安全性。收集准确的最佳药物历史（BPMH）是一个关键步骤。国家质量指标用作BPMH质量的替代标记，但不存在其准确性的文献。获得高质量的BPMH通常是劳动和资源密集型的。目前，药房学生正在被分配到获得BPMHS，作为增加BPMH完成的经济效益手段，尽管有限的信息来支持学生与其他医疗保健专业人员所获得的BPMHS的质量有限。目的：确定国家质量指标是否使用多个来源完成BPMH是一个真正的质量标记，并评估药房学生获得的BPMH是否具有等于由护士获得的BPMH。方法：这种前瞻性试验比较了护士收集的同一组患者的BPMHS由训练有素的药房学生在一个大型健康网络中的2个地点的紧急部门（7月和2016年8月）。 2个版本之间的差异由药剂师确定，该药剂师确定哪个派对（护士，药房学生或两者）产生错误。专家小组审查了错误并排名其严重程度。结果：BPMHS总共准备了40名患者。护士准备的人更有可能含有比药房学生准备的那些（171个错误，P = 0.006）。由药房学生完成的BPMHS中的严重错误呈现出不可显着的趋势。与指定质量指标有关的平均误差差异没有显着差异（由1次源的1个源代价的BPMH的平均值为2.7次误差，P = 0.08）.Conclusions：代理标记（BPMH源的数量）可能无法反映BPMH质量。然而，似乎由药房学生准备的BPMHs的错误较少，并且相对于护士准备的那些，具有相似的质量（在临床上的重大错误方面）。

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