紧急病房短期住院单位 (ReMedIES) 的常规药物:可以在不增加资源的情况下改善处方吗?
Aidan B Jackson1, Mark Lewis2, Robert Meek2,3
1St Vincent's Hospital Melbourne, Fitzroy, Melbourne, VIC, Australia.
Hospital pharmacy
|January 15, 2024
概括
医院药物错误是很常见的. 在急诊室短暂停留单位的流程变化并没有显著减少对患者常规,临床上有意义的药物的遗漏.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 医院的药物错误对不良事件有很大的风险.
- 关于急诊室 (ED) 短期住院单位 (SSU) 患者不处方常规药物的数据有限.
- 当地对药物遗漏的担忧促使在现有的资源限制范围内采取了流程改进计划.
研究的目的:
- 为了降低ED SSU患者常规药物的非处方率.
- 在现有的资源限制范围内实施流程变更.
主要方法:
- 采用了干预前后的观察性研究设计.
- 在干预之前和之后,对ED SSU患者的常规药物遗漏率进行了比较.
- 干预组件包括加强医生责任,结构化交付检查和药剂师药物调和.
主要成果:
- 该研究包括110名干预前患者和106名干预后患者.
- 观察到临床显著药物 (CSM) 遗漏率 (41%至30%) 的非显著减少为-11%.
- 置信区间表明,CSM遗漏没有统计学上显著下降.
结论:
- 在现有的资源限制范围内实施工作实践变化并没有显著减少SSU患者不处方常规临床重要药物的情况.
- 可能需要进一步的研究或不同的策略来解决该患者群体中的药物遗漏问题.
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