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实施临床决策支持系统,以优化药剂师对抗糖尿病药物的订单
Laurine Robert1, Paul Quindroit1, Héloïse Henry2
1Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France.
British journal of clinical pharmacology
|September 1, 2023
概括
临床决策支持系统 (CDSS) 改善了2型糖尿病 (T2DM) 的住院患者的抗糖尿病药物管理. CDSS有助于减少不适当的处方和潜在的不良药物反应.
科学领域:
- 临床药房 临床药房
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
背景情况:
- 患有2型糖尿病 (T2DM) 的住院患者通常需要复杂的抗糖尿病药物管理.
- 临床药剂师在优化药物治疗方面发挥着至关重要的作用.
- 技术的整合,如临床决策支持系统 (CDSS),可以增强药剂师的干预.
研究的目的:
- 评估CDSS对临床药剂师对抗糖尿病药物管理的影响.
- 评估CDSS在识别和解决T2DM患者药物相关问题的有效性.
主要方法:
- 一个回顾性,单中心的研究在一个教学医院进行.
- 在实施CDSS之前和之后,分析了与抗糖尿病药物相关的药剂师干预 (PIs).
- 从非内分泌病房收集数据,使用计算机化医生订单输入 (CPOE) 系统.
主要成果:
- 在CDSS实施后,PI增加了57.5% (203比319).
- CDSS产生了64个PI,主要是识别不合规/禁忌 (68.4%),导致57.8%的病例停止使用药物.
- CDSS发现了仅使用CPOE的药剂师错过的问题,而使用CPOE的药剂师发现了CDSS错过的未经处理的指示.
结论:
- CDSS显著改善了临床药剂师对住院T2DM患者的抗糖尿病药物管理.
- 通过减少不适当的处方和不良药物反应,CDSS的整合显示出增强一般病房糖尿病护理的潜力.
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