药房电子处方在CancelRx实施之前和之后发放
Samantha I Pitts1, Sarah Olson2, Lisa R Yanek1,2
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
取消Rx系统显著减少了在电子健康记录 (EHR) 中停止发行的电子处方 (电子处方) 的发行. 这种药物安全性的提高有助于防止在不再需要药物后,药品的潜在危害.
科学领域:
- 医疗信息学 医疗信息学
- 药物安全 药物安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在电子健康记录 (EHR) 中停药后发放药物是一个重要的安全问题,在停药后发放药物的比例为1.5%至5%.
- 这些发行药物的很大一部分 (34%) 具有对患者潜在危害的高风险.
研究的目的:
- 评估实施电子处方取消消息 (CancelRx) 在电子处方停止后对药物发行的影响.
- 评估CancelRx实施与减少在EHR中已停止发行的药物的相关性.
主要方法:
- 进行了间断时间序列分析的病例系列,包括从2018年1月到2019年12月在门诊护理中使用电子处方的患者.
- 该研究分析了CancelRx.实施前和之后的17,451名患者的53,298份停止使用的电子处方.
- 衡量的主要结果是,在停止治疗后6个月内在EHR中发放的电子处方的比例.
主要成果:
- 在CancelRx实施后,在停药后发放的电子处方比例从基线的8.0%大幅下降至1.4% (P < .001).
- 在实施后,CancelRx系统处理了85.9%的停止电子处方.
- 停药后发行处方的减少没有明显的周比周趋势 (β = 0.000158;P = .37).
结论:
- 实施CancelRx与在EHR中停止使用电子处方后,电子处方的发行立即和持续减少有关.
- 取消Rx的广泛采用有可能通过尽量减少停止使用的药物的发行来显著提高药物安全性.
- 这种干预提供了一个有希望的策略,通过确保及时取消电子处方来减少药物错误并改善患者的结果.
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