关于医院药剂师干预措施的多中心前性观察性研究,以减少不适当的药物
Shinya Suzuki1,2, Mayako Uchida2,3, Hideki Sugawara2,4
1Department of Pharmacy, National Cancer Center Hospital East, Kashiwa, Japan.
Frontiers in pharmacology
|July 17, 2023
概括
在日本,医院药剂师成功干预了24.5%的患者,停止或减少不合适的药物. 医生接受这些建议导致药物显著减少,改善了患者的治疗结果.
科学领域:
- 临床药房 临床药房
- 药物治疗 药物治疗
- 患者安全 患者安全
背景情况:
- 关于日本医院药剂师在管理不适当药物 (IMs) 中的作用的数据有限.
- 这项研究通过详细介绍药剂师的干预措施来停止或减少IM来弥补这一差距.
研究的目的:
- 为了前性地研究医院药剂师的干预措施,旨在停止不合适的药物或减少日本住院患者的剂量.
- 量化这些干预措施对药物治疗方案和患者护理的影响.
主要方法:
- 这是一项前性,多中心的观察性研究,涉及来自日本45家医院的50名药剂师.
- 药剂师确定并建议改变不合适的药物 (IMs) 在相互作用的住院患者.
- 收集关于推的数据,医生接受率和IMs的原因.
主要成果:
- 药剂师建议在1415名患者中有347名患者 (24.5%) 中断或减少剂量.
- 医生接受了94.1%的建议,导致523人停止服用药物,镇静,妄想和低血压有所改善.
- 常见的IM原因包括长期使用 (44.5%),不良影响 (31.5%) 和重复 (15.3%).
结论:
- 这项研究是日本第一个多中心前性观察性研究,表明医院药剂师干预措施的有效性.
- 药剂师干预显著促进适当的处方,从而减少了药物数量和多药.
- 息护理药剂师的干预措施在减少不良药物事件方面特别有效.
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