基于晨会制度的TDM药师临床服务技能培养模式及其实施效果  

Effectiveness of a self-cultivation model for TDM pharmacists based on a morning meeting system

作　　者：刘剑敏[1] 林奕凯 黄鹤归 张韶辉[1] LIU Jianmin;LIN Yikai;HUANG Hegui;ZHANG Shaohui(Department of Pharmacy,Wuhan No.1 Hospital,Wuhan 420032,China;Wuhan University of Technology Hospital,Wuhan 430070,China)

机构地区：[1]武汉市第一医院药学部,武汉430022 [2]武汉理工大学医院,武汉430070

出　　处：《中国临床药学杂志》2024年第6期432-436,共5页Chinese Journal of Clinical Pharmacy

基　　金：“十二五”中医药重点学科临床中药学建设项目(编号:国中医药人教发[2012]32号);湖北省临床药学重点专科(编号:鄂卫通[2019]125号);深圳市叶澄海慈善基金项目(编号2023LCYXGZMS5-2)。

摘　　要：目的 评价基于晨会制度的治疗药物监测(TDM)药师专业技能自主培养模式实施效果。方法 建立晨会制度,对比晨会制度实施前后个体化药学实验室不良事件上报数、日常程序达成时间、工作满意度、自我效能感、药师胜任力、实验室内周转时间及超时率、危急值通报及时率、检验报告错误率、报告召回率、医护患满意度、实验室投诉数以及TDM药师对培养模式的满意度等方面的差异。结果 晨会制度实施后,每月上报不良事件27件(P<0.01),日常程序达成时间(1.5 d)显著缩短(P<0.05),人员自我效能感(3.7分)、工作满意度(3.8分)、药师胜任力(79分)、危急值通报及时率(97.09%)、患者满意度(89%)、实施后药物基因检测的实验室内周转时间(23.04 h)及超时率(0.5%)均显著优于实施前(P<0.01)。医护满意度、TDM实验室内周转时间及超时率、实验室投诉数在实施前后无显著改变(P>0.05)。TDM药师对晨会自主培养模式在个人专业技能、临床思辨、沟通与协作、总结与撰写、自主学习等五方面能力提升上持肯定态度均在80%以上,尤其对个人专业技能的提升满意度达100%。结论晨会制度的实施有效提升了TDM药师临床服务技能和质量,充分展现了药师工作价值。AIM To assess the impact of implementing a morning meeting system on the professional skill development of therapeutic drug monitoring(TDM) pharmacists through a self-cultivation model. METHODS The morning meeting system was established to compare the differences in the number of adverse events reported by TDM pharmacists, the average time taken to achieve one daily procedure, job satisfaction, self-efficacy, pharmacist competency, turnover time and overtime rate in the laboratory, the timeliness of critical value notification, the error rate of test reports, the recall rate of reports, the satisfaction of doctors, nurses and patients, the number of laboratory complaints, and the satisfaction of TDM pharmacists with the training model before and after the implementation of the morning meeting system. RESULTS After the implementation of the morning meeting system, 27 adverse events reported per month(P<0.01), the average completion time for each daily procedure reduced to 1.5 d(P< 0.05), self-efficacy(3.7 points), job satisfaction(3.8 points), pharmacist competence(79 points), the timeliness of critical value notification(97.09%), and patient satisfaction(89%), the turnover time(23.04 h) and overtime rate(0.5%) of pharmacogenomic testing in the laboratory showed significant improvement than those before the implementation of this system(P< 0.01). There was no significant change before and after implementation in the satisfaction levels of medical staff, TDM laboratory turnover time and overtime rate, and the number of laboratory complaints(P > 0.05). TDM pharmacists hold a positive attitude of over 80% towards the improvement of personal professional skills, clinical thinking, communication and collaboration, summary and writing, and self-directed learning in the morning meeting system, especially with 100% satisfaction with the improvement of personal professional skills. CONCLUSION The implementation of the morning meeting system effectively improved the clinical service skills and pharmaceutical care quality of

关 键 词：治疗药物监测药师 晨会 专业技能 药学服务 

分 类 号：R95[医药卫生—药学]