在医院急诊室发现电子医疗处方中的差异:一项前性观察研究
David García González1,2,3, Paulo Teixeira-da-Silva1,3, Juan José Salvador Sánchez4
1Pharmaceutical Sciences Department, Universidad de Salamanca, 37007 Salamanca, Spain.
Pharmaceuticals (Basel, Switzerland)
|April 27, 2024
概括
电子处方系统 (EPS) 药物记录通常与实际患者药物不同. 临床药剂师在64.5%的患者中发现了差异,强调了超越EPS的验证的必要性.
科学领域:
- 临床药房 临床药房
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 电子处方系统 (EPS) 广泛使用,但可能不准确地反映患者的完整药物治疗方案.
- 药物异常可能导致不良事件,特别是在多病症或多药症患者中.
研究的目的:
- 为了前性地分析EPS处方药和药剂师修订的药物清单在急诊室观察区之间的差异.
- 为了确定类型,频率和特征的药物差异在成年患者多病症和/或多药.
主要方法:
- 展望性研究涉及临床药剂师审查成年患者的药物清单进入ED观察区.
- 药剂师利用多个来源,包括患者和护理人员采访,以协调药物数据.
- 统计分析发现的差异,包括类型,受影响的药物类别和患者人口统计.
主要成果:
- 在1131名患者中共发现了1654个差异;64.5%的患者至少有一个差异.
- 常见的差异包括剂量 (43.6%),佣金 (34.7%) 和遗漏 (20.9%) 的差异.
- 在老年患者 (≥75岁),女性和药物计数增加 (多药) 的患者中,差异更为频繁.
结论:
- 在EPS中的药物记录需要使用额外的信息来源进行验证,例如患者和护理人员采访.
- 解决药物差异对于患者的安全至关重要,特别是对于高警报药物和涉及戒断综合征的药物.
- 临床药剂师干预对于复杂患者群体中准确的药物调和至关重要.
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