面对面的药剂师过渡期护理管理访问对药物相关问题的影响
Bianca Mayzel1, Sandra Axtell1, Carolyn Richardson1
1Cleveland Clinic-Hillcrest Hospital, Mayfield, OH, USA.
概括
在过渡期护理医学 (TCM) 访问期间,药剂师领导的药物审查发现了与药物相关的问题 (MRPs) 比标准护理要多得多. 这突显了药剂师在优化出院后药物管理方面的价值.
科学领域:
- 药物经济学和健康研究成果研究成果
- 临床药学和实践 临床药学和实践
- 患者安全和药物管理
背景情况:
- 与药物相关的问题 (MRPs) 在出院后的护理中构成了重大挑战.
- 评估药剂师干预措施对医院出院后药物的管理的影响至关重要.
- 过渡期护理医学 (TCM) 旨在在护理过渡期间优化患者护理.
研究的目的:
- 评估药剂师主导的药物审查和调和在TCM访问期间减少MRPs的有效性.
- 为了确定药剂师的参与是否会导致改善药物优化对于从医院到家庭过渡的患者.
- 为了比较药剂师参与的TCM访问中MRP的发生率与标准的TCM程序.
主要方法:
- 对标准的TCM程序进行了回顾性图表审查.
- 实施了潜在的,以团队为基础的TCM访问,包括药剂师领导的药物调和.
- 测量的主要结果是前性和后性组之间识别的MRP的差异.
主要成果:
- 预期组,涉及药剂师和解,识别的MRPs是回顾组的四倍.
- 与患者相关的因素是MRP最常见的原因,患者往往不知道这些问题.
- 两组之间30天再接收率没有显著差异.
结论:
- 基于团队的TCM访问与药剂师领导的药物调和在发现MRPs方面比标准护理更有效.
- 药剂师参与TCM有助于识别药物差异和潜在的患者安全问题.
- 需要进一步调查导致MRP的患者相关因素.
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