一个患者风险评分工具试点项目对药店进行的药物治疗史优先排序的影响
Journal of the American Pharmacists Association : JAPhA
|April 18, 2024
概括
实施患者风险评分工具有助于药房工作人员优先考虑药物病史审查,确保更多高风险患者得到关键关注. 这提高了药物安全性,并减少了对患者的潜在危害.
科学领域:
- 药房实践 在药房实践.
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 药物不一致影响50-70%的患者,导致潜在的伤害和增加医疗保健成本.
- 药房主导的药物历史审查可以提高准确性,但面临着工作流和资源挑战.
- 准确的药物历史对于预防不良药物事件和确保安全的患者过渡至关重要.
研究的目的:
- 评估患者风险评分工具在药房工作人员优先考虑药物病史审查方面的有效性.
- 评估基于风险的优先级对药房工作流程和患者护理的影响.
- 确定风险评分工具是否有助于识别高风险患者进行药物调和.
主要方法:
- 在一个学术医疗中心进行了一项准实验性的单中心试点研究.
- 这项研究涉及药物史研究小组,包括急诊部的药剂师和经过认证的药房技术人员.
- 关键的终点包括高风险患者的药物史完成率,整体完成率和和解后的差异识别.
主要成果:
- 风险评分工具的实施导致药房完成的整体药物历史减少 (5.7%).
- 在患者捕获方面出现了显著的转变,较少的低风险患者 (89.7%至59.9%) 和更多的中风险 (Δ=25.4%) 和高风险患者 (Δ=4.4%) 被审查.
- 该研究表明,药房工作人员捕获的患者风险分类有统计学意义的变化 (P < 0.017).
结论:
- 一个患者风险评分工具使药房工作人员能够通过优先考虑高风险患者来优化工作流程.
- 该工具有助于更有针对性的药物历史审查,提高对最有可能受益的患者的关注.
- 这种方法提高了在急诊室设置中的药物调和流程的效率和有效性.
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