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延长工作时间的ED临床药房服务对入院药物处方错误的影响
Sam Maleki1, Galahad Gu1, Paul Buntine2,3
1Department of Pharmacy, Eastern Health, Box Hill, Victoria, Australia.
Emergency medicine Australasia : EMA
|April 30, 2024
概括
在急诊室 (ED) 的延长时间临床药房服务显著减少了高需要患者的药物错误. 此服务还改善了最佳药物历史 (BPMH) 和药物调和的时间.
科学领域:
- 临床药房 临床药房
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物错误是医院入院的一个重要问题.
- 优化临床药房服务可能会改善患者安全和护理过渡.
研究的目的:
- 评估在急诊室 (ED) 提供为期7天的延长时间临床药房服务对药物处方错误的影响.
- 评估这项服务对最佳药物历史 (BPMH) 和药物调和的时间的影响.
主要方法:
- 追溯观察性研究,比较接受ED药剂师审查的高需要患者与未接受审查的患者.
- 主要结局:药物错误率,由高级临床医生使用风险概率矩阵进行评分.
- 二次结果:时间到BPMH和药物调和.
主要成果:
- 与对照组相比,干预组 (105名患者) 的错误率较低 (每10种药物中有1.4) (137名患者,每10种药物中有2.7).
- 在干预组中显著减少中等风险错误和消除高风险错误.
- 到BPMH的时间从40.5小时减少到7.8小时,到药物调和的时间从45.0小时减少到40.0小时.
结论:
- 一个为期7天的延长时间的ED临床药房服务有效地减少了高需要患者的药物处方错误.
- 该服务还加快了尽可能最好的药物历史和药物调和.
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