我们需要记录药物治疗干预吗?

W T Sawyer, F M Eckel
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引用次数: 0

摘要

我们建议,一些药物治疗师可能会抵制文件,因为他们认为这是行政干预,而不是护理连续性的必要组成部分。归根结底,这也是一个药物治疗师的信念问题。药剂师必须明白他们的贡献是什么,必须相信这是有价值的和独特的。这不仅仅是一项信息管理职能——他们正在做出针对具体患者的决定,必须愿意对自己的结果负责。药房经理还必须相信,这种负责任的决策角色代表了该行业的首选未来。不幸的是,由于许多药房经理从未真正扮演过这样的角色,所以要建立这样的信念体系是很困难的。还必须使医院管理者相信,药剂师对病人护理的贡献不仅超出了物资管理,而且代表了一种完全独立的专业职能。这不能简单地通过记录干预措施来实现。是的,我们认为有必要记录药物治疗干预措施,然而,不是因为最经常需要的原因。
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Do we have to document pharmacotherapeutic interventions?

We have suggested that some pharmacotherapists may resist documentation because they view it as administrative intrusion rather than an essential component of continuity of care. In the final analysis, it is also a matter of the pharmacotherapist's belief. Pharmacists must understand what it is that they contribute, and must believe that it is both valuable and unique. It is not just an information management function--they are making patient-specific decisions and must be willing to be held accountable for their outcome. The pharmacy manager must also believe that such a responsible decision-making role represents that preferred future for the profession. Unfortunately, because many pharmacy managers have never truly functioned in such a role, developing such a belief system is difficult at best. The hospital administrator must also be made to believe that the contribution of the pharmacist to patient care not only extends beyond materials management but represents an entirely separate professional function. This will not occur simply through documentation of interventions. Yes, we believe that it is necessary to document pharmacotherapeutic interventions, however, not for the reasons that it is most frequently demanded.

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Opportunities for pharmaceutical care with critical pathways. The transition to medication system performance indicators. Development of a continuous quality improvement/total quality management program for medication use monitoring. Communication strategies to improve drug use evaluation. Use of critical pathways and indicators in pharmacy practice.
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