在社区药房环境中,对实用临床决策支持系统的实施和初步结果进行质量改善研究
Carolien Bogaerts1, Nele Schoenmaekers2, Marleen Haems1
1Royal Society of Pharmacists of East Flanders (KOVAG), Brouwerijstraat 1, 9031, Ghent, Belgium.
社区药剂师高度接受临床决策支持系统规则,改善药物管理和减少与药物相关的问题. 对于QT延长等复杂问题,需要进一步培训.
科学领域:
- 药房实践 在药房实践.
- 医疗信息学 医疗信息学
- 药物治疗 药物治疗
背景情况:
- 在为期六年的合作中,为帮助社区药剂师建立临床决策支持系统 (CDSS) 制定了九项指导方针.
- 该CDSS旨在提高药剂师在解决药物相关问题的能力,并改善患者护理.
研究的目的:
- 评估CDSS规则在社区药房药物管理中的有效性.
- 评估了CDSS实施的实际使用和药物治疗结果.
主要方法:
- 2019年对490家比利时药房进行了回顾性观察研究.
- 在51家药房进行了纵向分析,重点关注甲基酸与叶酸的联合处方,NSAID的胃保护和QT延长风险.
- 数据是在发射前一年和发射后两年收集的.
主要成果:
- 80%的药房采用了9个CDSS规则中的7个.
- 在四年内,甲基酸与叶酸的联合处方增加到79.8%.
- 胃保护显著改善,特别是在具有危险因素的年轻患者中; QT延长规则显示实施挑战.
结论:
- 药剂师对CDSS规则的高度接受与减少与药物有关的问题相关,这表明公共卫生效益.
- 现实世界的数据凸显了对复杂药物管理场景的增强数据收集和药剂师培训的需要.
- 该研究为未来在社区药房设置中实施CDSS提供了洞察力.
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