中国临床药学杂志2024，Vol.33Issue(6)：432-436,5.DOI:10.19577/j.1007-4406.2024.06.006
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
摘要
Abstract
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 1.5d(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 TDM pharmacists,and fully demonstrated the value of pharmacists'work.关键词
治疗药物监测药师/晨会/专业技能/药学服务Key words
therapeutic drug monitoring pharmacist/morning meeting/pharmaceutical service引用本文复制引用
刘剑敏,林奕凯,黄鹤归,张韶辉..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[J].中国临床药学杂志,2024,33(6):432-436,5.基金项目
"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) （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) （编号:鄂卫通[2019]125号）
深圳市叶澄海慈善基金项目(编号2023LCYXGZMS5-2) （编号2023LCYXGZMS5-2）
