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首页> 外文期刊>The International journal of pharmacy practice >PROTECTED-UK - Clinical pharmacist interventions in the UK critical care unit: exploration of relationship between intervention, service characteristics and experience level
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PROTECTED-UK - Clinical pharmacist interventions in the UK critical care unit: exploration of relationship between intervention, service characteristics and experience level

机译：受保护 - 英国 - 英国关键护理单位的临床药剂干预措施：干预，服务特征与经验水平之间的关系探索

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Purpose Clinical pharmacist (CP) interventions from the PROTECTED-UK cohort, a multi-site critical care interventions study, were further analysed to assess effects of: time on critical care, number of interventions, CP expertise and days of week, on impact of intervention and ultimately contribution to patient care.Methods Intervention data were collected from 21 adult critical care units over 14 days. Interventions could be error, optimisation or consults, and were blind-coded to ensure consistency, prior to bivariate analysis. Pharmacy service demographics were further collated by investigator survey. Key findings Of the 20 758 prescriptions reviewed, 3375 interventions were made (intervention rate 16.1%). CPs spent 3.5 h per day (mean, ±SD 1.7) on direct patient care, reviewed 10.3 patients per day (±SD 4.2) and required 22.5 min (±SD 9.5) per review. Intervention rate had a moderate inverse correlation with the time the pharmacist spent on critical care (P = 0.05; r = 0.4). Optimisation rate had a strong inverse association with total number of prescriptions reviewed per day (P = 0.001; r = 0.7). A consultant CP had a moderate inverse correlation with number of errors identified (P = 0.008; r = 0.6). No correlation existed between the presence of electronic prescribing in critical care and any intervention rate. Few centres provided weekend services, although the intervention rate was significantly higher on weekends than weekdays. Conclusions A CP is essential for safe and optimised patient medication therapy; an extended and developed pharmacy service is expected to reduce errors. CP services should be adequately staffed to enable adequate time for prescription review and maximal therapy optimisation.
机译：目的临床药剂师（CP）来自受保护 - 英国队列的干预措施，一种多站点关键护理干预研究，进一步分析了评估效果：时间关键护理时间，干预措施，CP专业人数和周的日子，对干预和最终对患者护理的贡献。在14天超过21个成年重症监护室中收集了干预数据。干预措施可能是错误，优化或咨询，并盲目编码，以确保一致性分析前确保一致性。调查员调查进一步整理药房服务人口统计数据。审查的20个758处处方的主要结果，提出了3375次干预（干预率为16.1％）。 CPS每天花费3.5小时（平均值，±SD 1.7），直接患者护理，评论每天10.3名患者（±SD 4.2），每次审查需要22.5分钟（±SD 9.5）。干预率与药剂师花在关键护理的时间中断（p = 0.05; r = 0.4）。优化率与每天审查的处方的总逆关联（P = 0.001; r = 0.7）。顾问CP与识别的错误数量与误差的逆相关相反（P = 0.008; r = 0.6）。在关键护理和任何干预率的电子处方的存在下没有相关性存在相关性。几个中心提供周末服务，尽管周末的干预率比平日在一起。结论CP对于安全和优化的患者药物治疗至关重要;延长和发达的药房服务有望减少错误。 CP服务应充分人员，以便为处方审查和最大治疗优化提供足够的时间。

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