临床药剂师干预,以确保退伍军人事务机构的安全兴奋剂处方做法
1Mental Health Clinical Pharmacist Practitioner, Mental Health Department, Ralph H. Johnson Veterans Affairs Medical Center, Savannah, Georgia.
The mental health clinician
|February 5, 2024
概括
这项研究发现,将兴奋剂与中枢神经系统抑制剂结合在一起,在退伍军人中很常见. 药剂师的干预改善了监测,减少了危险的共同处方,提高了患者的安全.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心理药物安全倡议 (PDSI) 要求半年进行心血管监测和每年进行尿液毒理学查,以帮助退伍军人服用兴奋剂.
- 此外,PDSI还需要对与兴奋剂同时使用中枢神经系统 (CNS) 抑郁剂进行风险评估,以确保好处超过风险.
研究的目的:
- 评估退伍军人的兴奋剂和中枢神经系统抑郁剂联合处方的频率.
- 评估遵守PDSI监测建议的情况.
- 测量药剂师干预措施对联合处方降级和监测合规性的影响.
主要方法:
- 一个质量改进项目确定了退伍军人有兴奋剂处方和联合处方的二,镇静剂-催眠剂或阿片类药物.
- 药房的干预说明被用来要求风险审查,建议降级,并提醒处方人员延迟监测.
- 干预后60天使用描述性统计数据和麦克纳马测试来评估影响.
主要成果:
- 在61名患者中,发现了67种独特的联合处方:类药物 (49.3%),镇静催眠药 (34.3%) 和阿片类药物 (16.4%).
- 药剂师的干预导致9名患者 (16.1%) 的升级.
- 干预后观察到遵守兴奋剂监测建议的统计学上显著改善.
结论:
- 临床药剂师在优化退伍军人处方兴奋剂的安全和适当管理方面发挥着至关重要的作用.
- 干预措施可以有效地减少同时使用中枢神经系统抑制剂,并改善对监测指南的遵守.
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