在门诊癌症护理中实施药物调和
Melanie Powis1,2, Celina Dara1,3, Alyssa Macedo1,2
1Cancer Quality Lab, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.
BMJ open quality
|May 29, 2023
概括
在癌症治疗中实施药物调和 (MedRec) 是复杂的. 虽然最佳可能的药物历史 (BPMH) 是常见的,但由于资源和信息共享障碍,MedRec的完整完成仍然很低.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 提高质量 提高质量
背景情况:
- 药物调和 (MedRec) 确保准确的患者药物清单 (最佳可能的药物历史 - BPMH),以防止药物相互作用.
- 门诊癌症护理质量改善倡议旨在提高开始全身治疗的患者的BPMH或MedRec率.
研究的目的:
- 评估加拿大门诊癌症中心当前的MedRec实践.
- 实施和评估质量改进项目,以提高BPMH和MedRec的费率.
主要方法:
- 环境扫描通过半结构面试与来自21个加拿大癌症中心的利益相关者进行环境扫描.
- 在一个癌症中心进行了六次代质量改进周期.
主要成果:
- 81%的中心有BPMH过程,59%的目标患者开始系统治疗,但完全的MedRec并不常见.
- 关键障碍包括缺乏资源,高患者数量和碎片化的医疗记录.
- 取得了26.6%的BPMH文档,但只有4.7%的完整的MedRec文档.
结论:
- 在门诊癌症护理中改进MedRec需要大量的时间和代努力.
- 解决资源分配和机构间信息共享对于有意义的进展至关重要.
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