Frost Timothy P, Adams Alex J
1 College of Pharmacy, The University of Toledo, Toledo, OH, USA.
2 Idaho State Board of Pharmacy, Meridian, ID, USA.
J Pharm Pract. 2018 Apr;31(2):190-194. doi: 10.1177/0897190017703505. Epub 2017 Apr 10.
Tech-check-tech (TCT) is a practice model in which pharmacy technicians with advanced training can perform final verification of prescriptions that have been previously reviewed for appropriateness by a pharmacist. Few states have adopted TCT in part because of the common view that this model is controversial among members of the profession. This article aims to summarize the existing research on pharmacist and technician perceptions of community pharmacy-based TCT.
A literature review was conducted using MEDLINE (January 1990 to August 2016) and Google Scholar (January 1990 to August 2016) using the terms "tech* and check," "tech-check-tech," "checking technician," and "accuracy checking tech*."
Of the 7 studies identified we found general agreement among both pharmacists and technicians that TCT in community pharmacy settings can be safely performed. This agreement persisted in studies of theoretical TCT models and in studies assessing participants in actual community-based TCT models. Pharmacists who had previously worked with a checking technician were generally more favorable toward TCT.
Both pharmacists and technicians in community pharmacy settings generally perceived TCT to be safe, in both theoretical surveys and in surveys following actual TCT demonstration projects. These perceptions of safety align well with the actual outcomes achieved from community pharmacy TCT studies.
技术复核技术(TCT)是一种实践模式,经过高级培训的药房技术人员可对药剂师先前已审核过适宜性的处方进行最终核查。很少有州采用TCT,部分原因是普遍认为该模式在业内人士中存在争议。本文旨在总结关于药剂师和技术人员对社区药房TCT看法的现有研究。
使用MEDLINE(1990年1月至2016年8月)和谷歌学术(1990年1月至2016年8月)进行文献综述,检索词为“技术与核查”“技术复核技术”“核查技术人员”以及“准确性核查技术”。
在确定的7项研究中,我们发现药剂师和技术人员普遍一致认为社区药房环境中的TCT可以安全实施。这种一致意见在理论TCT模型研究以及评估实际社区TCT模型参与者的研究中都持续存在。以前与核查技术人员共事过的药剂师通常对TCT更为认可。
在理论调查以及实际TCT示范项目后的调查中,社区药房环境中的药剂师和技术人员普遍认为TCT是安全的。这些对安全性的看法与社区药房TCT研究取得的实际结果非常吻合。