药物调和在儿科瘤血液学中的多中心研究
Margarita Cuervas-Mons Vendrell1, Dolores Pilar Iturgoyen Fuentes1, Miquel Villaronga Flaque2
1Servicio de Farmacia, Hospital Infantil Universitario Niño Jesús, Madrid, España.
概括
药物调和错误 (RE) 在儿科瘤血液病患者中很常见. 家庭药物的数量显著增加了这些错误的风险,遗漏是最常见的类型.
科学领域:
- 儿科瘤学 儿科瘤学
- 血液学 血液学 血液学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 护理的转换是药物错误的关键点.
- 药物调和是一个关键的安全措施.
- 儿科瘤血液病患者是患有慢性疾病的复杂人群.
研究的目的:
- 为了确定医院入院时儿科瘤血液病患者中药物调和错误 (RE) 的患病率.
- 为了比较这个人群对RE的敏感性与成年人.
- 为了描述患有RE的患者.
主要方法:
- 这是一项为期12个月的前性多中心研究.
- 在入院时对157名儿科瘤血液病患者进行了药物调和.
- 分析药物不一致及其原因.
主要成果:
- 在157名患者中,至少在96名患者中发现了至少一个药物差异.
- 48.9%的差异被归类为协调错误 (RE).
- 最常见的RE是药物遗漏,其次是剂量/频率/路线的改变. 更多的家庭药物 (≥4) 将RE概率增加2.1倍.
结论:
- 药物调和对于儿科瘤血液病患者至关重要.
- 在这个人群中,家庭药物的数量是RE的重要风险因素.
- 忽略服用药物是入院期间RE的主要原因.
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