頁籤選單縮合
題 名 | 精實方案提升精神護理之家用藥安全=A Study of Using Lean Project to Develop the Effectiveness of Drug Safety in Psychiatry Nursing House |
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作 者 | 曾秋玉; 陳稚唯; 蔡智凱; 古貞庭; | 書刊名 | 藥學雜誌 |
卷 期 | 32:2=127 2016.06[民105.06] |
頁 次 | 頁139-145 |
分類號 | 418.1 |
關鍵詞 | 護理之家; 藥事照護; 藥物治療問題; 藥物認知宣導; 用藥安全; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究分析自民國102年9月至103年3月期間,藥師將精神護理之家42位病人之基 本資料及藥歷建檔後,每月進行用藥衛教及填寫用藥評估與藥物衛教建議,病人院外 求診攜帶之自備藥品,藥師需當日進行用藥評估,藥師發現用藥問題後,以處方合理 用藥照會單或電話聯絡醫護人員,追蹤病人之改善或影響情形,並每月彙整檢討。 研究結果發現,為期6個月的藥事照護期間,總共發現46件藥物治療問題,住民 所發生的藥物治療問題中,重複用藥13件 (28%) 最多、其次是有疾病未治療有9件 (21%)。對於藥師所提出的建議,藥師介入結果,停用某藥21件最多,醫師接受度為 74%,藥師的介入使得每人每日服藥的總筆數由7.4筆減少為6.5筆 (P值 < 0.05),藥費 可節省4,056元,推估全院介入藥事照護後一年可省下藥費約162,240元;給予住民適 當的衛教,藥物認知宣導,前測51.4 ± 7.469%,後測77 ± 8.944%,P值 < 0.0001, 分析結果顯示藥師衛教介入前後,有顯著差異,說明衛教住民對藥物認知有顯著正面 提升效果,提升服藥順從度,協助住民建立起正確的用藥行為,藥師針對精神護理之 家藥事照護流程,導入精實方案概念─節省藥費、簡化藥事照護流程、降低用藥問 題,提升用藥安全品質及醫療品質。 |
英文摘要 | This study analyzed 42 cases in psychiatry nursing house from September 2013 to March 2014. After filing patient's basic information and medication record, the pharmacist give health education and fill out proposal monthly. When patient bring a prescription from other hospital, pharmacists need to assess prescription. After pharmacists found that drug problems, pharmacist used rational drug prescription note or phone call to contact medical staff to track the patient's situation, and aggregated monthly data. During six months periods of pharmaceutical care, we found 46 drug treatment issues. There are 13 cases of duplicate medication (28%), 9 cases of untreated disease (21%); For the recommendations made by pharmacists and pharmacist intervention result which has 21 case of discontinued medication, physician acceptance of 74%; Pharmacist intervention reduced the number of each patient's daily medication from 7.4 to 6.5 (P < 0.05); Medication costs can save 4,056 NTD and estimate after all hospital pharmacists intervention can save about 162,240 NTD. Pharmacist gives residents proper health education and drug awareness advocacy. Pretest score of pharmaceutical care is 51.4 ± 7.469% and posttest score is 77 ± 8.944% (p < 0.0001). The results showed pharmacists intervention make significant positive effects in drug awareness, medication compliance and assisting residents to establish the correct medication behavior. This study showed positive impacts of using lean project in pharmacy care process of psychiatry nursing house, including saving medication costs, eliminating unnecessary medication wastes, the simplification of pharmacy care process, reducing drug related problems and promoting the quality of drug safety. |
本系統中英文摘要資訊取自各篇刊載內容。