頁籤選單縮合
題名 | 藥事照護品質指標之選擇與應用=Selection and Application of QA Indicators in Pharmaceutical Care |
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作者 | 陳麗芳; Chan, Agnes L. F.; |
期刊 | 醫療品質 |
出版日期 | 19980500 |
卷期 | 1:1 1998.05[民87.05] |
頁次 | 頁42-45 |
分類號 | 419.2 |
語文 | chi |
關鍵詞 | 藥事照護; 品質指標; Pharmaceutical care; Quality indicators; |
中文摘要 | 由於醫療成本的不斷提高與健康保險體系的改變,美國藥師在醫院早已扮演著一 個能降低與藥物有關死亡率與罹病率之專業角色,同時替醫院節省成本,因此,藥師已不僅 是過去的調配藥物或提供細心的藥事服務而已。據美國在 1987 年統計有 12,000 人死於藥 物引起不良副作用, 15,000 人因藥物不良副作用而住院,在國內因至今仍未建立完整之藥 物不良副作用通報系統,因此,藥物不良副作用所導致之死亡率與罹病率則無法統計,但這 些因藥物所造成之相關死亡率與罹病率通常是可以預防的,因此,提昇藥事服務品質已被認 為是可以降低藥物不良副作用的發生,縮短住院天數及降低照護成本,藥師應以病患為導向 之藥事照護作為臨床實務哲學,為確保病患能獲得最佳之藥物治療與用藥安全,從事醫院工 作之藥師們更應重新設定執業標準,建立與院內其他醫護工作者之合作關係。因此,如何建 立藥事照護之概念,如何選擇監測指標及如何不斷改善品質成為藥劑部門今天面對之難題, 雖然我們目前每天常規地收集一些行政作業的指標資料,我們希望更進一步能在臨床業務上 擬定更周詳之監測指標,給病患提供更完善之藥事照護與服務。 |
英文摘要 | In response to the continued rapid growth of medication costs and the structural changes of the Health Insurance System such as case payment reimbursement. The reduction of the number of adverse effects, the length of hospital stay and the cost of care are now becoming an indication of management major hospitals in Taiwan. The pharmaceutical service plays its role in the respect by developing and reinforcing strategies of continuous quality improvement process and clinical pathways in several medical centers in order to maintain and improve quality of care while reducing costs. The pharmacy department in my hospital has already developed operational indicators. In order to cope with the changing environment, key indicators for patient care were drafted a year ago. Some patient-care indicators are performed and data are collected. We believe that the concept of continuous quality improvement and the use of indicators in quality monitoring are complementary and are prerequisites representing essential elements of a high quality pharmaceutical service. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。