使用电子处方治疗阿片类药物的经验和结果:快速范围审查
Sara J T Guilcher1,2,3,4, Stephanie R Cimino1,4, Mina Tadrous1
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Journal of medical Internet research
|December 28, 2023
概括
电子处方 (e-prescribing) 在管理阿片类药物治疗方面表现有前途,可能减少错误. 需要对处方者,药剂师和患者的经验进行进一步的研究,特别是在初级保健机构.
科学领域:
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
背景情况:
- 电子处方 (电子处方) 系统旨在提高处方的安全性和适当性.
- 电子处方对阿片类药物治疗管理的影响,包括患者和临床医生的经验,仍然在很大程度上未被探索.
研究的目的:
- 进行快速范围审查,以探索阿片类药物的电子处方的临床使用.
- 检查电子处方对临床结果,经验,服务提供和政策的影响.
- 识别当前文献中的差距,以指导未来的研究和建议.
主要方法:
- 根据JBI 2020和世卫组织快速审查指南,进行了快速范围审查.
- 在MEDLINE,Embase和Scopus数据库中进行了全面的文献搜索,直到2022年11月16日.
- 包括关于阿片类药物电子处方的初级研究,有门诊护理组成部分;数据被描述性地合成.
主要成果:
- 34篇文章符合纳入标准,主要是同行评审研究 (94%).
- 大多数研究 (36%) 专注于从急性到社区环境的电子处方;只有3%的研究涉及初级保健.
- 关键结果包括阿片类药物处方率,警报功能,处方数量/持续时间,技术采用和实施挑战;电子处方可能减少错误.
结论:
- 电子处方在阿片类药物治疗管理中显示出最初的希望.
- 未来的研究应该关注处方者,药剂师和患者的经验,特别是在社区和初级保健中.
- 制定质量指标和了解实施因素对于将电子处方纳入临床实践至关重要.
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