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开发和验证PolyScan,一个信息技术选工具的老年人与多药:医疗保健信息学研究研究
Lisheng Liu1, Rashmi Alate2, Jeff Harrison3
1School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand; and Primary, Public and Community Health, MidCentral District, Te Whatu Ora, PO Box 2056, Palmerston North 4440, New Zealand.
Journal of primary health care
|September 27, 2023
概括
一个新的工具PolyScan有效地识别了可能不合适的药物处方在老年人与多药. 这项技术支持临床医生和政策制定者提高药物安全性和减少危害.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 多药性与老年人不适当的处方和与药物相关的伤害有关.
- 专注于减少不适当的处方是至关重要的,而不是将多药学视为固有的有害.
研究的目的:
- 开发和验证PolyScan,一种用于初级保健的信息技术工具.
- 用于对那些被处方可能不合适的药物的多药房老年人进行分类.
主要方法:
- 开发了21个潜在不适合老年人药物的指标.
- 将算法逻辑应用于医院,急诊室和制药数据.
- 对300名老年人的手动记录审查进行了PolyScan验证.
主要成果:
- 通过PolyScan,我们成功地识别了多药性老年人可能不适当的处方.
- 该工具在有效性评估中实现了100%的灵敏度,特异性和预测值.
- 鉴定了3%的多药和潜在不合适药物的指标.
结论:
- PolyScan 是一个有价值的工具,用于识别可能不适当的处方在老年人与多药.
- 该工具支持临床医生,初级保健机构和决策者改善药物安全.
- 促进资源分配,理性医疗运动和有针对性的患者审查.
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