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改善药房学生对药物相关问题的反应,有或没有临床决策支持警报
Jeremy S Stultz1, Chasity M Shelton1, Tyler M Kiles1
1University of Tennessee Health Science Center College of Pharmacy, Memphis, TN, USA.
American journal of pharmaceutical education
|June 8, 2023
概括
药房学生有时在模拟订单验证期间经历临床决策支持 (CDS) 的警报疲劳. 然而,模拟暴露改善了他们对CDS警报和药物问题检测的适当反应.
科学领域:
- 药房 教育 教育 药房 教育
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 临床决策支持 (CDS) 系统是现代药房实践中预防药物错误的关键工具.
- 然而,CDS警报的有效性可能会因警报疲劳和过度依赖而降低,影响学生的学习和表现.
- 模拟环境提供了一个可控的设置来评估学生对这些系统的反应.
研究的目的:
- 在模拟订单验证过程中评估药房学生在识别和应对药物相关问题的表现.
- 为了比较学生对临床决策支持 (CDS) 警报的和没有问题的反应.
- 评估重复模拟暴露对学生适当利用CDS警报的能力的影响.
主要方法:
- 药学学生 (n=384) 在三个班级参与模拟药品订单验证.
- 模拟涉及随机序列的订单与不同的CDS警报频率,包括订单和没有药物问题.
- 学生的干预和对CDS警报的反应被评估为适当性.
主要成果:
- 当学生先前接触到不适当的警报时,他们表现出不太适当的反应 (66%与75%相比).
- 对于没有警报的问题,适当的变更建议较低 (45%与87%相比).
- 具有先前模拟经验的学生对警报的适当反应有所改善 (95%与87%相比),并随着时间的推移增加了对问题的检测.
结论:
- 在最初的模拟中,药房学生表现出警报疲劳和过度依赖CDS警报.
- 对模拟的重复暴露显著提高了学生对CDS警报的反应的适当性.
- 模拟提高了学生检测药物问题的能力,无论有没有CDS警报.
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