药物安全咨询 儿科初级保健医生的实践 临床医生
Leticia Manning Ryan1,2, Barry S Solomon1,2, Michael J Miller3
1The Johns Hopkins University, Baltimore, MD, USA.
Health promotion practice
|January 30, 2024
概括
儿科临床医生很少讨论安全的药物处置,尽管它在预防中毒方面很重要. 大多数临床医生希望获得更多的培训和资源,特别是在药物处置咨询方面.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 药物的安全性 药物的安全性
- 公共卫生 公共卫生
背景情况:
- 药物暴露是儿童疾病和死亡的重要原因之一.
- 美国儿科学会建议讨论药物安全性,但目前的临床医生实践是未知的.
- 对成年患者的现有研究表明,咨询往往忽略了药物的储存和处置.
研究的目的:
- 调查当前的药物安全咨询实践在儿科初级保健临床医生.
- 发现有关儿童患者药物储存,服药和处置的咨询方面的差距.
- 评估临床医生对药物安全咨询方面的额外培训和资源的感知需求.
主要方法:
- 在两个大西洋中部医疗保健系统中,对临床活跃的儿科初级保健临床医生进行了基于网络的调查.
- 该调查侧重于与安全的药物储存,管理和处置有关的咨询实践,按患者年龄分类.
- 从40名回应的临床医生收集了关于他们的实践和感知到的知识差距的数据.
主要成果:
- 大多数临床医生 (82.5%) 报告儿科患者经历药物暴露或中毒事件.
- 咨询实践因年龄而异,但安全的药物处置在所有年龄组中很少得到解决.
- 临床医生报告说,与储存和管理相比,对安全处置的信心和知识较低.
结论:
- 儿童药物安全咨询存在重大缺陷,特别是在安全处置方面.
- 临床医生 (97%) 有强烈的愿望提供更多的药物安全咨询.
- 需要额外的临床医生培训和资源,特别强调安全的药物处置策略.
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