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卫生信息交换访问对社区药房环境中的药物管理建议的影响
Journal of the American Pharmacists Association : JAPhA
|April 25, 2024
概括
健康信息交换 (HIE) 访问改善了药剂师对心血管疾病和糖尿病管理的建议. 药剂师在药物审查期间通过数据驱动的临床见解提供了增强的患者护理.
科学领域:
- 药房实践 在药房实践.
- 医疗信息学 医疗信息学
- 临床药房 临床药房
背景情况:
- 传统上,社区药剂师无法获得电子病历和临床标记.
- 这种限制阻碍了在药物管理过程中全面的患者护理.
- 获取临床数据对于药剂师提供基于证据的建议至关重要.
研究的目的:
- 评估健康信息交换 (HIE) 访问对社区药剂师提出的临床建议的影响.
- 量化和描述推类型及其接受率.
- 评估HIE在加强药剂师主导的药物管理中的作用.
主要方法:
- 在一个独立的药房进行了队列研究,该药房有HIE访问权限.
- 包括心血管疾病,高血压或糖尿病患者.
- 药剂师使用HIE进行实验室结果和患者数据,以提供建议.
主要成果:
- 分析了34个药物管理遭遇.
- 药剂师在32%的接触中提出了建议,重点是血压,糖尿病和他类药物治疗.
- 接受率有所不同,约有36%的建议被处方者接受.
结论:
- 健康信息交换 (HIE) 访问显著提高药剂师提供知情的临床建议的能力.
- 整合HIE数据使药剂师能够改善社区环境中的患者护理.
- 这项研究强调了互操作性对协作药物管理的价值.
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