药剂师参与老年人急性护理团队:对适当药物使用的影响
Jaylan M Yuksel1, Kelly R Ulen1, Dona Varghese2
11 Upstate Community Hospital, Syracuse, New York.
The Senior care pharmacist
|July 27, 2023
概括
一位临床药剂师在老年急性护理 (ACE) 团队中发现了更多与药物相关的问题 (DRPs) 和可能不合适的药物 (PIMs). 这改善了患者的护理,并减少了30天的再入院.
科学领域:
- 老年病的医生 老年病的医生
- 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:
- 该机构缺乏每日全职药剂师参与住院老年急性护理 (ACE) 团队.
- 需要在ACE团队中评估临床药房服务对药物适当性的影响.
研究的目的:
- 为了比较ACE团队中药剂师发现的与药物有关的问题 (DRP) 和潜在不合适药物 (PIM) 的数量,与没有药剂师的存在相比.
- 评估对住院时间,30天再住院率和接受药剂师建议的影响.
主要方法:
- 追溯性,单中心队列研究,比较两个3个月期间的患者.
- 控制队列:在ACE团队中没有药剂师. 干预队列:在ACE团队中的药剂师.
- 排除标准包括缺乏来自老年医疗提供者或药剂师的记录图表笔记.
主要成果:
- 干预组 (125名患者) 发现的PIM和DRP明显多于对照组 (106名患者).
- 两组之间没有观察到停留时间的显著差异.
- 在30天再接收率中发现了统计学上显著的差异,有利于干预组.
结论:
- 在ACE团队中包括一名药剂师导致了DRP和PIM的识别增加.
- 药剂师的参与对患者护理产生了积极的影响,并减少了30天的再入院.
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