KMID : 0869620240410010012
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Journal of Korean Society of Hospital Pharmacists 2024 Volume.41 No. 1 p.12 ~ p.19
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Development of a Team-Based Clinical Pharmacy Service for Surgical Intensive Care Unit at an Academic Teaching Hospital
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You Ha-Na
Jung Ji-Young Kim Min-Jung Jung Ae-Hee Jung Sun-Hoi Kim Seung-Bin Lee Euni
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Abstract
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Background and objective : SMG-SNU Boramae Medical Center implements a team-based clinical pharmacy service for Surgical Intensive Care Unit (SICU). This study aimed to examine the perception and expectations of healthcare providers on team-based clinical pharmacy services.
Methods : A survey was constructed to include questions on healthcare provider¡¯s awareness, satisfaction, needs, and obstacles for the established team-based clinical pharmacy services. Healthcare providers were also asked about types of new pharmacy services in the survey. A two-round of Delphi survey method was used.
Results : A total of 22 healthcare providers responded to the questionnaire. All items related to the awareness were positively evaluated with an average score of 3.50 points (SD=0.67) on a 4-point Likert scale. For satisfaction, higher average scores were reported for ¡®Therapeutic drug monitoring (TDM)¡¯, ¡®Nutrition support team (NST)¡¯, and ¡®Providing drug information¡¯, with an average score of 3.67 points (SD=0.60). Other items on the satisfaction showed a lower average score of 3.03 points (SD=0.70). Items related to the needs for services were evaluated positively with an average score of 3.69 points (SD=0.50). The most frequently reported obstacle was the lack of continuous support of clinical pharmacy services. The need for improving the SBAR tool, a structured communication tool, was suggested.
Conclusion : Positive results were confirmed by health care providers for team-based clinical pharmacy services at SICU. Their satisfaction levels were higher in TDM, NST, and provision of drug information. Our findings could serve as a point of reference for addressing the needs for considering improved information technology supported by electronic medical records and an enhanced clinical decision support system in the future.
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KEYWORD
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Surgical intensive care unit, Medication reconciliation, Team-based Clinical Pharmacy service, Delphi study
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