在社区药房中记录与毒品有关的问题及其管理:六年来数据的演变
Noelia Amador-Fernández1, Tiffany Baechler2, Patricia Quintana-Bárcena3
1Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland; Centre for Research and Innovation in Clinical Pharmaceutical Sciences, Lausanne University Hospital and University of Lausanne, Switzerland; Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, University of Lausanne, Geneva, Switzerland; School of Pharmaceutical Sciences, University of Geneva, Switzerland.
Research in social & administrative pharmacy : RSAP
|July 22, 2023
概括
药剂师记录了与药物相关的问题 (DRP) 和他们的管理六年. 对DRP的一致文档提供了数据,用于开发改善患者护理的干预措施.
科学领域:
- 药房实践 在药房实践.
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药剂师活动的记录,包括药物相关问题 (DRP) 管理,对于公平的报酬至关重要,但在社区药房中很少进行.
- 缺乏一致的文档阻碍了准确评估药剂师的工作量及其服务的价值.
研究的目的:
- 在社区药房环境中,记录和评估DRP流行和管理策略在六年期间的演变.
- 为药剂师干预及其相关时间投资建立一致的数据收集方法.
主要方法:
- 在社区药房每年进行一次观察性研究,持续21天,持续6年.
- 使用ClinPhADoc工具记录了药物,DRP类型,干预,参与方以及用于DRP管理的时间.
- 分分析是根据医疗轮换周期进行的.
主要成果:
- 超过171,000个处方产生了1,550个DRP (4.0%),其中程序问题,剂量/剂量问题和药物相互作用是最常见的.
- DRP管理的平均时间为6.9分钟,临床DRP需要最长的持续时间 (11.0分钟).
- 药剂师主导的DRP管理 (44.6%) 比涉及其他利益相关者 (p < 0.01) 更有效,并且在医疗轮换的开始和结束之间,DRP有显著的差异 (p < 0.05).
结论:
- 在社区药房中对DRP管理进行一致的长期记录是可行的,并产生可靠的数据.
- 在DRP中识别的模式可以为旨在预防DRP和改善患者结果的跨专业干预措施的开发提供信息.
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