医疗记录双重检查:在入院时使用医疗补助网站和电子药品索赔数据发现的住院精神病学药物错误
1Pharmacy Intern, Department of Pharmacy, Providence St Patrick Hospital, Missoula, Montana.
The mental health clinician
|May 2, 2024
概括
精神病药剂师在52名患者中16名在入院药物调整 (MR) 期间发现了药物错误 (ME). 大多数错误涉及遗漏或不正确的药物频率,但药剂师在没有伤害患者的情况下纠正了97%的ME.
科学领域:
- 药房实践 在药房实践.
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 在护理过渡期间,药物错误 (ME) 经常发生,特别是在精神病医院住院.
- 药剂师在药物调和 (MR) 中发挥着至关重要的作用,以防止ME.
- 准确的MR对于确保患者安全和有效治疗至关重要.
研究的目的:
- 评估入院精神病房病人的ME的数量和类型.
- 评估药房执行的MR过程在识别和纠正ME方面的有效性.
主要方法:
- 一个前性的质量改进项目在28天内进行.
- 涉及52名患者入院于一个22张床位的住院精神病学病房.
- 使用了患者访谈和电子药品声明数据 (EPCD) 针对MR.
主要成果:
- 在52名被审查的患者中,有29名ME在16名患者中被发现.
- 常见的ME包括药物遗漏 (34%) 和不正确的频率 (28%).
- 与电子药品声明数据 (EPCD) 双重检查相关的错误最常见.
结论:
- 药房执行的MR在精神病医院入院期间有效地识别ME.
- 大多数确定的ME可以由精神药剂师纠正,其中97%可以无害地解决.
- 需要改进MR过程,特别是关于EPCD审查,以进一步减少药物错误.
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