使用现有劳动力增加药剂师主导的药品订单审查数量:一项回顾性研究
Elsa Reallon1, Anne-Laure Yailian2,3, Carole Paillet2
1Pharmacy Department, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, Auvergne-Rhône-Alpes, France elsa.reallon@chu-lyon.fr.
European journal of hospital pharmacy : science and practice
|August 14, 2023
概括
根据患者的风险 (年龄,干净度) 分层化药物顺序审查可以提高安全性和效率. 这种方法允许对高风险患者进行全面审查,对其他人进行基本审查,优化药剂师的时间,增加药物订单审查覆盖范围.
科学领域:
- 药理学和药房实践中的药理学和药房实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人员短缺需要医院有针对性的药物订单审查策略.
- 目前的向可能会使一些患者容易受到与药物相关的问题 (DRP) 的影响.
- 按级别分层审查 (L1:基本,L2:全面) 可以优化时间和审查量.
研究的目的:
- 确定药物订单审查水平分层的标准.
- 用这种分层方法估计节省时间和潜在的额外审查.
主要方法:
- 2020年药物订单审查和检测到的DRP的回顾性分析.
- 后勤回归用于识别与全面 (L2) 审查相关的患者特征.
- 应用衍生标准来估计节省的时间和额外的审查能力.
主要成果:
- 分析了2400多个DRP,54%可以通过基本 (L1) 审查检测到.
- 综合性 (L2) 审查与年龄较大 (≥65) 和干净度降低 (<60毫升/分钟) 有关.
- 估计每年节省了274个小时,使1720个额外的药物订单审查成为可能.
结论:
- 使用年龄和干净度进行L2审查的分层方法保持了患者的安全性.
- 针对非目标患者的基本 (L1) 审查改善了整体药物订单审查覆盖范围.
- 这一策略优化了利用现有的药房劳动力来确保药物安全.
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