社区药房的协作药物审查 - 与药物相关的问题以及与医生沟通的过程:一项追溯验证研究
Jonna-Carita Kanninen1,2, Terhi Toivo2,3, Marja Airaksinen2
1Faculty of Technology Satakunta University of Applied Sciences Pori Finland.
Health science reports
|March 14, 2024
概括
实践社区药剂师 (PPs) 有效地识别与药物相关的问题 (DRPs),但需要改善与医生的书面沟通. 专业间的学习可以通过更好的合作来提高患者的护理.
科学领域:
- 医药护理 医药护理 医药护理
- 医疗服务研究 医疗服务研究
- 专业间的沟通 专业间的沟通
背景情况:
- 实践社区药剂师 (PP) 和初级保健医生之间的历史合作有限.
- 在治疗问题上,PP和医生之间缺乏沟通.
研究的目的:
- 评估PP如何与医生就确定的药物问题进行书面沟通.
- 评估解决与毒品有关的问题的建议 (DRP).
- 在PP-医生沟通过程中确定发展需求.
主要方法:
- 对家庭护理客户的药物评价的回顾性验证研究 (n=46).
- 涉及的PP,家庭护理护士,执业护士和医生.
- DRP的书面报告和PP的建议被认可的药剂师和老年人药物治疗专家盲目评估.
主要成果:
- 专家组确定了189名DRP,并为每位患者提出了4.1个建议.
- 46%的PP建议与认可的药剂师建议相匹配.
- 医生认为67-69%的PP建议具有临床相关性.
- 关于DRP和建议的沟通适当性被评为38%.
结论:
- PPs在识别DRP方面表现出强大的能力,特别是不适当的药物使用.
- 在DRP和向医生推的书面沟通方面需要显著改进.
- 建议在护理团队内进行专业间的学习,以提高患者护理能力.
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