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| 題 名 | 居家護理個案用藥之雲端即時評估=Using Google Cloud Forms to Establish a Real-time Assessment Process by Hospital Pharmacists to Evaluate Home Care Cases Medication |
|---|---|
| 作 者 | 李雅琪; 黃湞瑜; 李麗菁; 李芯如; | 書刊名 | 藥學雜誌 |
| 卷 期 | 35:4=141 2019.12[民108.12] |
| 頁 次 | 頁123-128 |
| 分類號 | 418.82 |
| 關鍵詞 | 居家護理個案; 即時用藥評估; 醫院藥師; Google cloud forms; Real-time assessment; Home care cases medication; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 台灣的病人因環境方便,常有多家醫院同時就醫拿藥的習慣。而在目前醫院藥師 人力普遍不足之下,藥師難以聯同居家護理師一同訪視病人,針對病人提供個別化的 用藥評估和衛教。我們的想法是利用 Google 雲端表單建立評估流程,讓居家護理師 於個案家中進行藥物評估時,可迅速即時得到醫院藥師專業評估的回饋資料。 |
| 英文摘要 | Objective: The Taiwanese often take multiple prescription medications from hospitals at the same time. In addition, the drug is often changed manufacturers, and the pharmacists lack of manpower to visit the patient's home with home care nurse to provide a comprehensive medication evaluation. The idea was to use Google Cloud Forms to establish an assessment process that would allow online hospital pharmacists to give immediate feedback to home care nurse. Methods: The home care nurse fills out history of illness, medications on Google Cloud Forms, and notifies online hospital pharmacists. The pharmacist will used Drugs.com3 to evaluate drug interactions within 30 minutes. If the patient is intubated, it will be evaluated whether it can be feed by powder form. The home care nurse educated patients after confirmed the feedback from the pharmacist. Moreover, they will confirm the effectiveness of education at the next visit. Results: After the implementation process on June 30, 2016 to April 26, 2018, 63 people have been assessed. After the online hospital pharmacists assessment, there were 18 patients had suggestions, including serious interactions between drugs and drugs, or between drugs and health foods, proposed changes in dosage forms, and route of administration, accounting for 28.6%. According to home care nurse follow-up with patient behavior, 9 visits were considered positive. For example, they have more accurate medication knowledge, more accurate management techniques and time, and no negative indicators. Discussion: The assessment time for each case was reduced from 7 days to 30 minutes because it is convenient. The efficiency is 4 times better than the previous one. Furthermore, Google Cloud Forms can be downloaded, eliminating the need for manual statistics, so the two home care nurses are positive feedback. |
本系統中英文摘要資訊取自各篇刊載內容。