医院药房服务在护理点过渡的发展:一个范围审查
Jasmin Theresa Stoll1, Anita Elaine Weidmann2
1Clinical Pharmacy, University of Innsbruck, Innsbruck, Austria jasmin.stoll@uibk.ac.at.
European journal of hospital pharmacy : science and practice
|February 28, 2024
概括
医院药房在患者护理过渡的服务已经向更全面的护理模式发展. 需要进一步的研究来证实这些整体转换护理 (TOC) 服务的临床和经济效益.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 药物安全 药物安全
背景情况:
- 医院药房服务对于药物安全至关重要,但在全球范围内未得到充分利用.
- 这些服务在各种患者护理接口上运行,影响整体医疗保健服务.
- 优化这些服务对于改善患者结果和医院效率至关重要.
研究的目的:
- 在医疗转换 (TOC) 时对医院药房服务进行范围审查.
- 在过去十年中,确定高收入国家的趋势和实践模式.
- 综合当前关于药房服务在患者护理过渡期间的实施和影响的知识.
主要方法:
- 从2011年开始,在四个主要数据库 (PubMed,PubPharm,Cochrane Library,ScienceDirect) 进行了全面的文献搜索.
- 两个研究人员对标题,摘要和全文进行了独立选,确保了严格的研究选择.
- 数据的提取和总结遵循了PRISMA-ScR质量报告指南,重点是发达国家的研究.
主要成果:
- 在5456个初步结果中,65项研究符合纳入标准,主要来自欧洲和北美.
- 早期 (2011-2016) 的重点是个别的TOC服务,如药物调和; 后来的趋势显示向跨越所有TOC点的整体服务的转变.
- 促进者和障碍者与资源和基础设施有关,报告的临床和经济结果各不相同.
结论:
- 在过去的十年中,医院药房服务越来越多地采用了整体的TOC模型.
- 跨患者旅程的综合制药护理显著发展是显而易见的.
- 需要高质量的大规模研究才能确定这些先进的TOC服务的临床和经济优势.
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