引入一个由药剂师领导的跨壁护理计划,以减少与药物相关的问题在正确老年患者:一个前性干预研究
Rachel Bailly1, Stephanie Wuyts2,3, Loic Toelen4
1Departement of Pharmacy, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium. r.bailly@europehospitals.be.
BMC geriatrics
|January 11, 2024
概括
一个由药剂师领导的计划显著减少了与药物相关的问题 (DRPs) 在退院后的老年骨科患者. 这种跨壁护理改善了连续性和药物安全性.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 药物经济学 药物经济学
背景情况:
- 整形老年患者面临由于并发症和多药性疾病而导致的并发症的高风险.
- 临床药剂师 (CP) 对于跨线沟通至关重要,以确保出院后的护理连续性.
- 这项研究评估了一项由药剂师主导的计划,以减少与药物相关的问题 (DRPs) 在正经老年患者.
研究的目的:
- 评估由药剂师领导的跨壁护理计划在减少直立老年患者的DRPs中的有效性.
- 评估全科医生的药剂干预的接受率和临床影响.
- 分析与放电后DRP减少相关的因素.
主要方法:
- 一项干预性研究,比较常规护理 (月经前) 和药剂师主导的计划 (月经后),用于骨科部门65岁以上的患者.
- 减少DPR的利率计算在放免经费后一个月.
- 评估了GP接受率和干预措施的临床影响 (CLEO工具),以及再接收率.
主要成果:
- 干预组显示了统计学上显著的更高的DRP减少率 (p < 0.001).
- 药剂师干预与DRP减少的增加有关 (+1,750).
- 71%的建议干预措施被全科医生接受,其中45-58%具有显著的临床影响.
结论:
- 药剂师领导的跨壁护理计划有效地减少了正骨老年患者的DRPs.
- 药剂师和全科医生之间的跨界沟通导致了高度接受干预和改善药物管理.
- 该计划展示了提高患者安全和避免伤害的潜力.
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