临床药剂师在手术前环境中收集最佳可能的药物历史:观察前性研究
Daniele Mengato1, Lisa Pivato1, Lorenzo Codato2
1Hospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, Italy.
Pharmacy (Basel, Switzerland)
|September 22, 2023
概括
临床药剂师显著提高了手术前手术患者最佳可能药物历史 (BPMH) 的准确性. 药剂师收集的BPMH数据中缺失较少,提高了患者的安全性,降低了药物错误风险.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 最好的药物历史 (BPMH) 对于药物审查至关重要,但通常由意大利的护理人员收集.
- 这项研究评估了临床药剂师与病房工作人员在手术前的手术环境中收集的BPMH的质量.
研究的目的:
- 将临床药剂师记录的BPMH与病房工作人员收集的BPMH的质量和准确性进行比较.
- 评估药剂师参与对BPMH完整性的影响.
主要方法:
- 在一所大学医院进行了为期20周的前性观察研究.
- 临床药剂师 (干预) 收集的BPMH与病房工作人员 (控制) 收集的BPMH进行了比较.
- 确定了BPMH收集的10个关键项目,并比较了各组之间的省略率.
主要成果:
- 与病房工作人员收集的BPMH (57.4%) 相比,药剂师收集的BPMH的遗漏明显较少 (2.0%).
- 药剂师收集的数据完整性 (98.0%) 与病房工作人员 (42.6%) 相比更高.
- 遗漏和完整度的差异在统计学上是显著的 (p < 0.05).
结论:
- 涉及临床药剂师大大减少了手术前手术BPMHs.s中的遗漏.
- 这种干预可以减少与不完整或不准确的药物历史有关的药物错误.
- 强调药剂师主导的数据收集对提高患者安全的价值.
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