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Evaluation of the Role and Impact of Ambulatory Clinical Pharmacists in an Academic Comprehensive Cancer Center

机译:评估车身临床药剂师在学术综合癌症中心的作用和影响

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Introduction: In recent years, there has been significant growth of ambulatory oncology pharmacy, yet there is a paucity of published studies on the clinical activities and impact of ambulatory oncology clinical pharmacists. At Duke Cancer Center, dedicated pharmacist services are embedded in specialized outpatient oncology areas. Pharmacists document their clinical and administrative activities in the electronic health record. The primary objective of this study is to quantify and assess ambulatory oncology pharmacist interventions in clinics in a large academic comprehensive cancer center. Methods: For the purposes of this single-center, retrospective, descriptive study, pharmacist interventions were collected, quantified, and described over a 6-month period from July 1 to December 31, 2015. The study evaluated the perceived contribution and impact of a pharmacist on patient care in ambulatory oncology clinics via a survey that was distributed to providers and nurses. Results: In the 6-month time period, there were 5,091 interventions spanning 3,967 patient encounters between nine ambulatory oncology clinic pharmacists. The average time per encounter in the 6-month time frame was 22.4 minutes. There were 92 respondents to the survey (61.7% response rate). Overall, responses showed that the clinical pharmacists add value to patient care and are integral members of the team. Conclusions: Although previous studies have described pharmacist activities in outpatient oncology clinics, this study showed a larger number and variety of clinical pharmacist activities in outpatient cancer clinics to improve patient care. Future directions include conducting prospective, controlled studies to link pharmacist activities to tangible outcomes.
机译:导言:近年来,非卧床肿瘤学药房有了显著增长,但关于非卧床肿瘤学临床药剂师的临床活动和影响的已发表研究却很少。在杜克癌症中心,专门的药剂师服务嵌入了专门的肿瘤门诊区域。药剂师在电子健康记录中记录他们的临床和管理活动。本研究的主要目的是量化和评估大型学术综合癌症中心门诊肿瘤药师干预措施。方法:为了这项单中心、回顾性、描述性研究的目的,在2015年7月1日至12月31日的6个月期间收集、量化和描述了药剂师干预措施。这项研究通过一项分发给提供者和护士的调查,评估了药剂师对门诊肿瘤诊所患者护理的感知贡献和影响。结果:在6个月的时间内,9名非卧床肿瘤诊所药剂师共进行了5091次干预,涉及3967名患者。在6个月的时间框架内,每次遭遇的平均时间为22.4分钟。调查共有92名受访者(回复率为61.7%)。总体而言,回复显示,临床药剂师为患者护理增加了价值,是团队不可或缺的成员。结论:尽管之前的研究描述了肿瘤门诊的药师活动,但本研究显示,癌症门诊的临床药师活动数量更多、种类更多,以改善患者护理。未来的方向包括进行前瞻性对照研究,将药剂师活动与实际结果联系起来。

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