术前药物护理咨询对手术患者药物错误的影响:综合分析
Daniel Gomez Costas1, Almudena Ribed Sánchez1, Alvaro Gimenez Manzorro1
1Hospital General Universitario Gregorio Maranon, Hospital Pharmacy, Madrid, Spain.
Expert opinion on drug safety
|December 8, 2023
概括
手术前的药物护理咨询显著减少了手术患者的药物错误. 这种干预措施通过预防潜在的有害药物相关问题,改善了患者安全和手术结果.
科学领域:
- 药房实践 在药房实践.
- 手术患者护理手术患者护理
- 药物安全 药物安全
背景情况:
- 药物错误对手术患者构成风险.
- 有效的手术前药物管理对于手术成功至关重要.
- 医药护理咨询可以优化患者的药物治疗方案.
研究的目的:
- 评估手术前药物护理咨询的影响.
- 评估预防药物错误 (ME) 的严重程度.
- 分析已预防的ME对外科手术过程的潜在影响.
主要方法:
- 为手术患者实施了手术前的药物护理咨询.
- 根据多学科协议对药物管理进行评估.
- 分析了1,179个预防的ME (2016-2020) 的严重程度和外科影响.
- 使用治疗组列表优先考虑患者.
主要成果:
- 在3,105次咨询中预防了1,179次药物错误.
- 30.6%的ME属于E类,26.2%属于D类 (潜在的重大危害).
- 需要治疗的数量是5个,以防止E类或更高的ME.
- 175个ME被归类为G-H (不可逆转的损害) 已被阻止.
结论:
- 在手术前的药物护理咨询是有效的预防ME.
- 这种干预措施提高了手术环境中的患者安全.
- 优化药物管理有助于改善手术结果.
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