临床药房实践指南的范围,内容和质量:系统审查
Vibhu Paudyal1, Betul Okuyan2, Martin Charles Henman3
1School of Pharmacy, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Edgbaston, Birmingham, UK. v.paudyal@bham.ac.uk.
这次对临床药房指南的审查发现,需要在开发过程中提高严格性. 建议在国际上协调指南,以确保一致的质量和以人为中心的护理.
科学领域:
- 药房实践 在药房实践.
- 临床药房 临床药房
- 发展指南 发展指南
背景情况:
- 许多国家已经出版了临床药房指南,用于从业人员的活动.
- 需要进行全面审查,以确定这些指导方针的范围,并为国际协调努力提供信息.
研究的目的:
- 在全球范围内审查临床药房指南的范围.
- 使用研究和评估指南评估II (AGREE II) 工具评估指南的质量.
主要方法:
- 在多个数据库 (Medline,Embase等) 中进行系统搜索. 和灰色文献从2010年到2023年1月进行.
- 包括涵盖任何医疗保健环境和临床药房活动的指南.
- 两位独立审查员使用AGREE II工具评估了指南的质量.
主要成果:
- 包括38条指导方针,主要来自澳大利亚,爱尔兰,英国和美国.
- 涵盖的重点领域包括药物调和,药物优化,药物管理和护理过渡.
- 最高的AGREE II分数是范围和目的,而开发的严谨度得分最低,通常是由于对证据的考虑不足.
结论:
- 临床药学准则的制定需要一个系统的方法,涉及所有质量领域.
- 准则应该更好地强调以人为中心的护理和临床沟通.
- 尽管实践和立法存在差异,但指导方针的国际协调是可行的和必要的.
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