新冠肺炎大流行期间优化自我保护工具管理和临床药物服务:叙述性综述

Kartika Citra Dewi Permata Sari, Nadia Farhanah Syafhan, Imanuel ' Sianipar
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引用次数: 0

摘要

卫生服务中个人防护装备的使用在确保医护人员和患者的安全方面发挥着至关重要的作用,特别是在COVID-19大流行期间。另一方面,市场上个人防护装备种类繁多,医院预算和物资有限,必需的个人防护装备必须合理管理。作为供应管理人员和临床护理提供者的药剂师必须实施个人防护装备管理优化战略,以确保个人防护装备的可用性,并避免诸如增加卫生服务成本或个人防护装备浪费等负面影响。本文旨在从供应阶段管理和临床药学服务管理两方面为医院PPE管理提供循证策略。本文采用叙述性文献综述法,检索谷歌Scholar、ScienceDirect和SpringerLink数据库。与PPE管理相关的文章;本研究包括COVID-19大流行期间个人防护用品的替代使用、选择、规划、分发、再利用和临床药学服务。通过检索,共获得30篇文献和13项政策指南,纳入本文献综述。管理策略包括根据传播风险确定和队列供应需求、选择个人防护装备类型、使用计算工具进行预测、避免及时采购、集中分发和潜在的重复使用。修改临床药学服务以尽量减少个人防护装备的使用也是一种优化策略。为了实施它,药剂师需要与医院的其他专业人员合作,因为它通过综合方法提高了成功率。所建议的战略预计将有助于印度尼西亚医院个人防护装备的管理,但其应用必须针对每家医院量身定制。
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Optimalisasi Manajemen Alat Pelindung Diri dan Pelayanan Farmasi Klinis selama Pandemi COVID-19: Narrative Review
Personal protective equipment (PPE) usage in health services plays an essential role in ensuring healthcare workers’ (HCW) and patients’ safety, especially during COVID-19 pandemic. On the other hand, the diversity of PPE types in the market, limited hospital budget and supplies, required PPE must be rationally managed. Pharmacists as supply managers and clinical care providers must implement PPE management optimization strategies to ensure PPE’s availability and avoid negative impacts such as increasing health service’s costs or PPE waste. This article aims to provide evidence-based strategies for PPE management in hospitals based on managing supply stages and clinical pharmacy services. The article was prepared using narrative literature review method from Google Scholar, ScienceDirect, and SpringerLink databases. Articles with topics related to PPE management; alternative uses of PPE, selection, planning, distribution, reuse, and clinical pharmacy services during the COVID-19 pandemic were included in this study. Based on the search, 30 articles and 13 policy guidelines were obtained which were included in this literature review. Management strategies included identifying and cohort supply need based on transmission risk, selecting PPE’s type, forecasting with calculation tools, avoiding just-in-time procurement, centrally distributed, and potential reuse. Clinical pharmacy services modification to minimize PPE use was also an optimizing strategy. For its implementation, pharmacists need to collaborate with other professionals in the hospital because it enhances success with a comprehensive approach. The recommended strategies are expected to assist the management of PPE in Indonesian hospitals, but its application must be tailored for each hospital.
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