抗帕金森症药物调和作为一种通过预防药物错误来提高安全的策略
Adrián Viudez-Martínez1, Ana Ramírez-López1, Javier López-Nieto1
1Pharmacy Department Instituto Investigación Biomédica y Sanitaria de Alicante (ISABIAL) Hospital General Universitario Dr. Balmis Alicante Spain.
Movement disorders clinical practice
|July 21, 2023
概括
医院中帕金森病患者的药物调整显著减少了药物错误和禁用药物的使用. 这种干预措施改善了帕金森病患者在住院期间的药物安全性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 入院帕金森病 (PD) 患者经常经历药物错误,高达70%的人没有正确服用药物.
- 显著的百分比 (33%) 的PD患者在住院期间处方禁忌药物,增加风险.
研究的目的:
- 实施和评估专门针对抗帕金森症药物的药物调和 (MedRec) 计划.
- 目标是识别,描述和预防药物错误,从而提高住院PD患者的治疗质量和安全性.
主要方法:
- 在一个单一的中心进行了一年的前性干预研究.
- 药物协调涉及三个阶段的检查:验证住院病人的处方与门诊时间表,审查临床报告,并采访患者/护理人员.
- 包括住院患者,在入院时处方有效的抗帕金森药物.
主要成果:
- 在171次入院事件中,59.8%的抗帕金森症药物处方含有错误,主要是与时间,频率和剂量相关的错误.
- MedRec计划防止了2716个抗帕金森症剂量的错误注射,占处方剂量的60%.
- 近三分之一 (29.82%) 的发作涉及禁用药物处方,错误与列沃多巴处方之间存在显著联系.
结论:
- 临床药剂师实施抗帕金森症药物调和计划有效减少了药物错误.
- 该计划显著减少了禁用药物的处方,改善了住院期间的患者安全.
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