在血液学和瘤学住院患者中实施合作药剂师药物图表
Erica Y Tong1, Gail E Edwards1, Phuong Uyen Hua1
1Pharmacy Department, Alfred Health, Melbourne, Victoria, Australia.
概括
合作药剂师药物图表 (PPMC) 显著减少了维多利亚州癌症单位的药物错误. 这种协作方法通过降低包括复杂的癌症疗法在内的所有药物的图表错误来提高患者安全.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 药物错误在癌症护理中构成重大风险.
- 之前的研究表明,合作药剂师药物图表 (PPMC) 在一般医疗单位的有效性.
研究的目的:
- 评估PPMC模型对维多利亚医院癌症病房内药物错误的影响.
- 评估PPMC在专业瘤学环境中的可行性和有效性.
主要方法:
- 进行了一项前性队列研究,比较PPMC实施前后的药物错误.
- 该研究涉及七个维多利亚州卫生服务的预干预阶段和3个月的干预阶段.
- 有资格的药剂师与医务人员合作,绘制了所有入院药物,包括癌症疗法.
主要成果:
- 使用PPMC观察到药物错误的实质性减少:4.3%的图表有错误,而没有PPMC的错误为60.5% (p < 0.001).
- 在42例药剂师绘制癌症治疗图表的病例中,没有发现药物错误.
- 在预干预和干预阶段之间,住院时间的中位数没有显著差异.
结论:
- 合作药剂师药物图表 (PPMC) 是一个成功和可扩展的协作策略,用于提高癌症单位的药物安全性.
- PPMC模型显著减少了药物错误,包括与关键癌症疗法相关的药物错误.
- 建议在澳大利亚癌症部门广泛采用PPMC,以改善患者的治疗结果.
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