背景:药品管理技术人员已被证明是药品优化和药品废物中未充分利用的资源。在英国,对于癌症服务门诊单位的临床药学服务有国家建议,尽管有这些建议,英格兰的专科三级中心的日间病例部门没有临床药学服务。许多患者路径已经存在多年,并且没有随着临床路径的变化而发展。这项研究的主要目的是分析药品管理技术员如何减少药品浪费,改善当前的途径,提高药物优化,并最终改善英格兰专科三级中心肿瘤学日间病例单元的患者体验。
方法:在韦斯顿公园医院进行了一项前瞻性混合方法研究。对收集的定量数据进行描述性统计分析,并对通过问卷向工作人员和患者收集的定性数据进行主题分析。
结果:这项研究表明,药品管理技术人员可以完成一些传统上由化疗护士在日间病例单元完成的任务,增加他们完成更适合临床任务的能力。药物管理技术人员可以作为更广泛的多学科团队的一部分,在一个日常病例单元中,为肿瘤管理局的药物优化和成本节约做出贡献。
结论:这项研究表明,药品管理技术人员可以作为更广泛的多学科团队的重要成员,改善沟通和患者路径,改善药物优化并有助于节省成本的举措。需要进一步的研究来评估药品管理技术人员的角色是否可以在血液学日病例单元上具有相同的价值。
BACKGROUND: Medicines Management Technicians have been shown to be an underused resource in medicines optimisation and medicines waste. In the United Kingdom, there are national recommendations for the clinical pharmacy service in cancer services ambulatory units, despite these recommendations, there was no clinical pharmacy service on the day
case unit at a specialist tertiary centre in England. A lot of the patient pathways had been in place for many years and had not progressed with the changes in the clinical pathways. The main objectives of this study were to analyse how a medicines management technician could reduce medicines waste, improve the current pathway, increase medicines optimisation and ultimately improve the patient experience in an oncology day
case unit at a specialist tertiary centre in England.
METHODS: A prospective mixed methods study was carried out at Weston Park Hospital. Descriptive statistical analysis was conducted on the quantitative data collected, and thematic analysis was carried out on the qualitative data collected by questionnaire to staff members and patients.
RESULTS: This study has shown that a medicines management technician can complete some of the tasks more traditionally done by the chemotherapy nurses on the day
case unit, increasing their capacity for more clinically appropriate tasks. A medicines management technician can work as part of the wider multidisciplinary team on a day
case unit contributing to medicines optimisation and cost savings for the oncology directorate.
CONCLUSIONS: This study has shown that a medicines management technician can act as a valued member of the wider multidisciplinary team, improving communication and patient pathways, improving medicines optimisation and contributing to cost saving initiatives. Further studies are required to assess whether a medicines management technician role can be of the same value on a haematology day
case unit.