在门诊护理中处方级联:结构化的证据综合
Faiza Shahid1, Ann Doherty2, Emma Wallace2
1Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
Pharmacotherapy
|September 25, 2023
概括
这项研究系统地审查了门诊护理处方级联的证据,为大多数患者找到适度的证据. 虽然许多不良药物事件被标记,但需要进一步的研究来确认许多级联的临床相关性.
科学领域:
- 药物监督 药物监督 药物监督
- 药品安全 药品安全
- 临床药理学 临床药理学
背景情况:
- 处方级联,即标记药物治疗指标药物的不良事件,在门诊护理中很常见.
- 这些级联的证据依据尚未确立,需要进行系统审查.
研究的目的:
- 系统地审查和描述支持门诊护理指定的证据.
- 为了评估证据的强度,FDA标签包括不良事件,以及确定级联的机械联系.
主要方法:
- 进行了系统的文献搜索,以从先前的审查中识别和描述94个处方级联.
- 根据观察性研究质量分级证据强度 (I-IV级).
- 评估FDA标签的不良事件和合成的机械证据.
主要成果:
- 在94个布中,18个 (19.1%) 有强有力的证据,61个 (64.9%) 中度,13个 (13.8%) 公平,2个 (2.1%) 差.
- 大多数 (86/94) 级联的不良事件都列在FDA标签上,但机械证据各不相同.
- 包括88项证实性观察性研究 (51个顺序对称性分析,30个队列,7个病例对照).
结论:
- 处方级联的证据依据是可变的,其中很大一部分由中等或公平的证据支持.
- 虽然FDA的标签通常包括不良事件,但需要进一步的研究来确认许多处方级联的临床相关性.
- 强有力的临床证据支持少数已识别的处方级联,突出显示需要更强大的研究.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592
01:16Cascaded Op Amps
656
Operational amplifiers (op-amps) are versatile electronic components that can be interconnected in a cascade - one after another in a linear sequence. This cascading is possible due to their infinite input resistance and zero output resistance, allowing them to maintain their input-output relationships even when connected in series.
In a cascaded system, each op-amp is referred to as a stage. The output of one stage drives the input of the subsequent stage. As the input signal passes through...
In a cascaded system, each op-amp is referred to as a stage. The output of one stage drives the input of the subsequent stage. As the input signal passes through...
656
01:28Drug Therapy
60
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
60
01:28Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11
01:02Prescription, Nonprescription and Orphan Drugs
756
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
756
01:17Flow Sheet
1.7K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.7K