{"id":2133,"date":"2024-02-10T18:24:52","date_gmt":"2024-02-10T18:24:52","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2133"},"modified":"2026-05-08T14:49:29","modified_gmt":"2026-05-08T12:49:29","slug":"naar-sygeplejersker-og-farmakonomer-er-sammen-om-opgaven","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/10\/naar-sygeplejersker-og-farmakonomer-er-sammen-om-opgaven\/","title":{"rendered":"N\u00e5r sygeplejersker og farmakonomer er sammen om opgaven"},"content":{"rendered":"
\n

\"\"<\/h2>\n

Der er fordele ved at involvere farmakonomer, men sygeplejerskernes kompetencer kan ikke erstattes i de f\u00f8rste ustabile akutte d\u00f8gn, viser et projekt p\u00e5 Regionshospitalet G\u00f8dstrup.<\/span><\/strong><\/p>\n

Charlotte Bjerg Sand Riis, s<\/span>ygeplejerske, klinisk sygeplejespecialist cand.cur. Neurologi, Fysio- og Ergoterapi, Regionshospitalet G\u00f8dstrup, Region Midt. <\/span>charlottebjergsand@gmail.com<\/a><\/p>\n

\n

Resume
\n<\/span><\/strong>Baggrund
\n<\/span><\/strong>P\u00e5 grund af et stigende demografisk tryk p\u00e5 sundhedsv\u00e6senet og rekrutteringsvanskeligheder inden for specielt sygeplejen igangsatte Neurologi, Fysio- og Ergoterapi, Neurologisk Sengeafsnit, Regionshospitalet G\u00f8dstrup (RHG), et projekt med fokus p\u00e5 at unders\u00f8ge nye samarbejdsmuligheder mellem Klinisk Farmaci og Neurologisk afdeling.
\n<\/span>Form\u00e5l
\n<\/span><\/strong>At unders\u00f8ge effekten af samarbejde med farmakonomer m\u00e5lt p\u00e5 patientsikkerhed i forhold til medicinadministration og h\u00e5ndtering, samt aflastning af patientrelaterede opgaver i l\u00e6ge- og plejegruppe p\u00e5 tre kliniske omr\u00e5der: Opfyldning og ajour af medicinposer (patientens medicin p\u00e5 stuen), medicinanamnese, herunder substituering, tilretning i FMK (f\u00e6llesmedicinkort) og EPJ (Region Midtjyllands elektroniske patientjournal), dispensering (b\u00e5de i forbindelse med indl\u00e6ggelse og udskrivelse). Metode. Stikpr\u00f8veunders\u00f8gelser, analyse af utilsigtede h\u00e6ndelser (UTH) relateret til medicin over hele pr\u00f8veperioden, observationsstudier og interviews af personale involveret i den kliniske hverdag.
\n<\/span>Resultater
\n<\/span><\/strong>Projektet afd\u00e6kker administrationsfejl fokuseret mod afstemning af FMK og godkendelse i EPJ med fejlmedicineringer til f\u00f8lge og effekt p\u00e5 andelen af medicinforstyrrelser i afdelingen. De patient-risikofyldte arbejdsgange er prim\u00e6rt fundet af farmakonomer i afdelingen til trods for at flere faggrupper var involveret i b\u00e5de administration og udlevering af medicin.
\n<\/span>De kvalitative unders\u00f8gelser resulterede i fire temaer:
\n<\/span>1. Meningsfuld partner
\n2. Uhensigtsm\u00e6ssige arbejdstider
\n3. Udvikling af nye arbejdsgange
\n<\/span>4. Den uforventede sparringspartner
\n<\/span>Konklusion
\n<\/span><\/strong>Samarbejdet beskrives som meningsfyldt af alle parter. Dog udfordres nye arbejdsgange af de eksisterende rammer. P\u00e5 baggrund af fund i unders\u00f8gelsen, konkluderes der, at der i nuv\u00e6rende praksis er risiko for medicinfejl blandt komorbide patienter.<\/span><\/p>\n

N\u00f8gleord<\/span><\/strong>:<\/strong> tv\u00e6rfagligt samarbejde, medicinadministration, opgaveflyt, farmakonomer, kvalitetsforbedring.<\/span><\/p>\n

English abstract<\/h5>\n

When nurses and pharmaconomists work together on medication tasks. <\/strong>Exploring interdisciplinary collaboration to improve medication safety and workflows<\/strong><\/p>\n


\nBackground<\/strong>
\nDue to increasing demographic pressure on the healthcare system and major recruitment challenges in nursing, the Department of Neurology, Physiotherapy and Occupational Therapy and the Neurological Ward at Regionshospitalet G\u00f8dstrup initiated a project to explore new forms of collaboration between Clinical Pharmacy and the neurological unit.
\nAim<\/strong>
\nThe aim was to investigate the effect of collaborating with pharmaconomists on patient safety related to medication administration and handling, as well as on relieving doctors and nurses of patient\u2011related tasks in three clinical areas: replenishing and updating in\u2011room medication bags, medication history including substitution and reconciliation in the Shared Medication Record (FMK) and the electronic health record (EPJ), and dispensing at both admission and discharge.
\nMethods<\/strong>
\nThe project used sample audits, analysis of all medication\u2011related adverse events during the study period, observational studies and interviews with staff involved in everyday clinical work.
\nResults<\/strong>
\nThe project identified administration errors related to reconciliation between FMK and EPJ and subsequent incorrect medication, as well as the impact on the number of medication interruptions in the ward. Risk\u2011laden workflows were primarily detected by pharmaconomists, despite several professional groups being involved in medication administration and dispensing. Qualitative analyses generated four themes: a meaningful partner, inappropriate working hours, development of new workflows and the unexpected sparring partner.
\nConclusion<\/strong>
\nAll parties described the collaboration as meaningful, although existing organisational frameworks challenged the implementation of new workflows. Based on the findings, the study concludes that current practice entails a risk of medication errors among multimorbid patients.<\/p>\n

Keywords: <\/strong>Interprofessional collaboration, medication administration, task shifting, pharmaconomists, patient safety, quality improvement, neurology ward.<\/p>\n<\/div>\n<\/div>\n

\n
\n
\n
\n
\n

Vil du l\u00e6se videre?
\nF\u00e5 adgang til artiklen med:<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n
\n\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\tPLUSmedlem<\/span>
\n\t\t\t\t\t<\/span>
\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n

Enkelt k\u00f8b af artikel<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n