介護施設における薬物管理の各段階における薬物使用事故の特徴とリスク要因:報告された5700件の長期コホート研究
S Sandun M Silva1, Nasir Wabe2, Magdalena Z Raban2
1Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW, 2109, Australia. sandunmalpriya.silva@mq.edu.au.
Drug safety
|September 6, 2025
まとめ
医療上の誤差は高齢者の3分の"以上に影響を及ぼします 主なリスクは,投与,供給,およびモニタリングの問題,特にリフート患者および複数の状態または薬剤を服用している患者です.
科学分野:
- ゲロントロジー
- 薬理学について
- 医療サービス研究
背景:
- 薬剤管理は,住宅高齢者ケア (RAC) の重要な品質問題です.
- インシデントレポートは 薬物管理の問題に関する洞察を提供しますが,RACの設定での研究は限られています.
研究 の 目的:
- RACの異なる管理段階における薬物使用事故を分析する.
- 薬物使用の危険因子を特定する
主な方法:
- オーストラリアのニュー・サウス・ウェールズ州にある25のRAC施設のデータを用いた遡及的コホート研究 (2014-2021年).
- 5709人の65歳以上の住民と5708人の薬物使用事件が含まれています.
- 薬剤による事故の危険因子を特定するために使用される多層ポアソン回帰法.
主要な成果:
- 薬剤の総発生率 (IR) は1000レジデント日当たり1. 81であった.
- 住民の35%は少なくとも1つの事件を経験し,53%の事件は薬の投与に関係しています.
- 緩和入院 (RR=1. 908),パーキンソン病 (RR=1.5 86),および多剤薬 (RR=2. 019) は,インシデントリスクを有意に増加させた.
結論:
- RAC施設の高齢者の3分の"以上が 薬物使用の問題を抱えています
- 改善戦略は薬剤の投与,供給,モニタリングに 焦点を当てるべきです
- 多病症患者や多剤薬剤師に 特別な注意が必要です
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