[翻译文章] 在住院和门诊患者中实施药物治疗评估的标准化过程
A González1, W Gutiérrez2, T Fuenzalida2
1Departamento de Hematología y Oncología, Universidad Católica de Chile, Santiago, Chile; Programa de Farmacología y Toxicología, Universidad Católica de Chile, Santiago, Chile; Servicio de Farmacia, unidad de Farmacia Clínica, Hospital Clínico UC-Christus, Santiago, Chile.
概括
标准化药物治疗评估过程 (SPEP) 工具增加了临床药剂师的评估和干预,特别是在重症监护中. 该工具还证明了显著的成本节约,主要是通过预防药物不良事件.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 药物治疗后续 (PFU) 涉及识别,解决和预防不良药物事件.
- 开发高效的PFU程序对于患者安全和机构资源至关重要.
- UC-CHRISTUS医疗保健网络开发了标准化药物治疗评估过程 (SPEP) 工具.
研究的目的:
- 评估SPEP工具对药剂师评估和干预数量的影响.
- 确定药剂师在重症监护室 (ICU) 干预的潜在和直接成本节约.
主要方法:
- 一项准实验性研究比较了SPEP在成年患者单位实施前后的情况.
- 统计分析包括沙皮罗-威尔克测试和奇平方测试.
- 节省成本的计算方法是使用Hammond等人. 对于ICU干预的方法.
主要成果:
- 患者评估从1781增加到2129;药剂师评估和干预从5209/2246增加到6105/2641.
- 特别是在重症监护患者中,观察到评估和干预措施的显著增加.
- 在ICU中实施SPEP带来了492,805美元的潜在成本节约,其中60.2%归因于预防不良药物事件.
结论:
- 在各种临床环境中,SPEP工具有效地增加了药剂师的评估和干预.
- 这种影响在重症监护患者中最为显著.
- 建议进行进一步的研究,以评估这些药剂师干预措施的质量和临床影响.
关键词:
药学注意力, 药物治疗治疗的跟踪临床药剂师 临床药剂师临床药房服务 临床药房服务药品安全 药品安全药物治疗是药物治疗.医药学临床医院 药学临床医院监控药物使用情况医药护理 医药护理 医药护理药物治疗 药物治疗药房服务公司治疗药物监测 治疗药物监测使用药物保险的使用.更多相关视频
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