在不同医院环境中服用药物史的方法:范围审查
Theresa Terstegen1, Christina Niestroj2, Julia Stangl2
1Heidelberg University, Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX - Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg, Germany.
概括
改善药物服用史对于安全治疗至关重要. 本次审查强调,虽然存在许多方法,但基于信息技术 (IT) 的方法和患者参与显示出有希望的成本效益替代方案需要进一步调查.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 完整的药物历史对于安全有效的患者治疗至关重要.
- 目前获得准确药物历史的方法往往需要大量的人力资源和财务投资.
- 标准化药物病史记录流程对于改善医疗保健结果至关重要.
研究的目的:
- 提供现有的药物病史采集方法的全面概述.
- 分析这些方法在各种医疗机构和患者群体中的表现.
- 为选择高效和有效的药物历史程序提供信息.
主要方法:
- 在三个主要数据库 (PubMed/MEDLINE,CINAHL,PsycINFO) 进行系统的文献搜索.
- 基于干预类型,环境,患者特征和报告结果,分析了65篇出版物.
- 评估研究方法,包括样本大小计算和统计分析.
主要成果:
- 大多数干预涉及专门的员工 (n=43),其次是以流程为导向 (n=15) 和信息技术 (IT) 为导向 (n=11) 的方法.
- 在89%的研究中报告了药物的差异,但不同的术语阻碍了直接比较.
- 只有11项研究使用了统计测试,其中10项报告了药物历史质量上的积极影响.
结论:
- 目前的资源密集型方法,通常依赖于药房工作人员,需要探索更具成本效益的替代方案.
- 基于信息技术的干预措施和增加患者参与需要进一步调查,因为它们可能是优越和经济的选择.
- 标准化报告准则和方法对于提高药物服用史研究未来研究的可比性和可靠性至关重要.
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