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药剂师为入院前的患者进行药物调整,提高了患者的安全性
Yunami Yamada1, Ryo Kobayashi2,3, Taishi Yamamoto1
1Department of Pharmacy, Gifu University Hospital, Gifu, Japan.
Journal of pharmaceutical health care and sciences
|April 26, 2024
概括
在入院前由药剂师领导的药物调整 (MR) 显著减少了住院期间的药物错误. 这种主动的方法可以提高患者的安全性,通过确保准确的入院前药物治疗史得到早期建立.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 住院期间的药物错误往往来自不准确的入院前药物历史.
- 药物调和 (MR) 是改善患者在护理过渡中的安全性的关键过程.
- 这项研究调查了在入院前由药剂师领导的MR对入院后早期药物错误的影响.
研究的目的:
- 评估药剂师主导的在入院前进行的药物调整的有效性.
- 为了确定这种干预措施对药物错误发生率的影响,在治疗后的早期阶段.
主要方法:
- 采用了比较性研究设计,分析了2012年4月至2020年3月间骨科手术患者的数据.
- 从2017年4月1日开始,为入院前患者实施了药剂师主导的MR.
- 医院住院期间与入院前药物相关的药物错误在MR实施前和后的期间之间进行了比较.
主要成果:
- 药剂师主导的MR在入院后组中对94.2%的患者进行.
- 在MR后组中,显著更高比例的患者在入院前的药物被要求在入院后继续使用 (47.4%对1.0%).
- 与服用前药物相关的药物错误的发生率在MR实施后显著下降 (0.85%对1.83%).
- 在入院前由药剂师主导的MR被认为是预防与药物相关事件的重要保护因素 (OR,0.3810;p=0.035).
结论:
- 在入院前由药剂师领导的药物调整有效地减少了住院期间的药物错误.
- 药剂师早期实施准确的药物历史,显著提高了患者的安全.
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