临床药剂师建议的接受率 - 一个持续的整合之旅
Orit Peled1, Yael Vitzrabin2, Eran Beit Ner3
1Department of Pharmacy, Schneider Children's Medical Center of Israel, Affiliated to School of Medicine, Tel Aviv University, Petach Tikva, Israel.
Frontiers in pharmacology
|October 2, 2023
概括
将临床药剂师整合到糖尿病足部,随着时间的推移,药物相关问题 (DRP) 建议的接受率显著提高. 这种加强的协作优化了复杂病例的患者管理和临床结果.
科学领域:
- 临床药房 临床药房
- 药物经济学 药物经济学
- 患者安全 患者安全
背景情况:
- 包括临床药剂师在内的多学科团队合作,通过预防与药物相关的问题 (DRP) 来改善患者的治疗结果并优化管理.
- 这种协作方法对于多病症和多药症患者,例如糖尿病足病患者,尤为重要.
- 关于将没有先前经验的新临床药剂师纳入专业单位的证据有限.
研究的目的:
- 描述和评估临床药剂师成功融入糖尿病脚病单位的整合过程.
- 测量随着时间的推移,临床药剂师干预的推接受率的变化.
主要方法:
- 进行了一项为期9个月的前性探索性治疗有效性研究.
- 一位新的临床药剂师发现了医疗和药物相关问题 (DRP) 或药物处方和管理中的差异.
- 主要结局指标是随着时间的推移,临床药剂师的建议的接受率.
主要成果:
- 该研究包括86名患者 (67%是男性,平均年龄为66.5岁),平均8.9次诊断和11.1次处方药.
- 平均每位患者发现了3.3名DRP,其中95%患有心血管疾病,33%患有无法控制的高血糖症.
- 在研究期间,与疗效相关的DRP建议的接受率从37.8%增加到79.4%,与安全相关的DRP从56%增加到67.6%.
结论:
- 临床药剂师的成功整合提高了临床结果,并优化了药理学患者管理.
- 这项研究表明,在缺乏经验的单位中,药剂师驱动的综合药物管理的接受率越来越高.
- 团队协作和战略方法对于克服整合挑战和充分利用临床药剂师的作用至关重要.
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