基于德尔菲共识研究的药物相关再入院指标的制定
Nicole Schönenberger1, Anne-Laure Blanc2, Balthasar L Hug3
1Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, 3010, Bern, Switzerland; Graduate School for Health Sciences, University of Bern, 3012, Bern, Switzerland.
这项研究确定了与药物相关的再入院的关键指标,包括沟通不良,多药和复杂的治疗方案. 这些发现可以帮助医疗保健提供者减少患者再入院并改善护理.
科学领域:
- 药物经济学和医疗服务研究研究 药物经济学和医疗服务研究
- 提高患者安全和质量.
背景情况:
- 与药物相关的再接收对医疗保健系统构成重大挑战,影响患者的福祉和资源分配.
- 缺乏关于药物相关再入院指标的共识,阻碍了主动管理.
研究的目的:
- 制定一套基于共识的指标,用于识别高风险药物相关再入院的患者.
- 为医疗保健提供者建立一个标准化的工具来评估再接收风险.
主要方法:
- 一项两轮的Delphi研究,涉及临床药剂师,医生和护理专家的专家小组.
- 指标被评为相关性,共识是使用RAND/UCLA方法确定.
- 缺乏共识的指标被重新评估,并生成和评估新的指标.
主要成果:
- 在与药物相关的再入院的最终29个指标上达成共识.
- 优先考虑的关键指标包括供应商之间的沟通不足,多药性 (≥7种药物),药物坚持低,复杂的药物治疗方案和多病症 (≥3种慢性疾病).
结论:
- 开发的指标集可以指导临床药房服务在医院出院优先考虑患者护理.
- 实施这些指标有可能改善患者的治疗结果,并优化资源利用.
- 计划进行一项验证研究,以进一步评估这些指标的有效性.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Drug Therapy
Antianxiety Medications
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Errors occurring during blood pressure monitoring
Several factors...
