开发,内容验证和标准化为医院临床药房服务的成年患者优先级工具
Stephanie Ferreira Botelho1, Laís Lessa Neiva Pantuzza1, Adriano Max Moreira Reis1
1Programa de Pós-graduação em Medicamentos e Assistência Farmacêutica, Faculdade de Farmácia, Universidade Federal de Minas Gerais, 6627 Presidente Antônio Carlos Ave., Pampulha, Belo Horizonte, Minas Gerais, Brazil.
Research in social & administrative pharmacy : RSAP
|May 17, 2024
概括
开发了一个新的工具PrioFarClinH,用于识别临床药房服务 (CPS) 的高风险患者. 这种全面的工具证明了足够的内容有效性,以优先考虑那些最能从CPS中受益的成年患者.
科学领域:
- 医院 医院 药房 医院药房
- 临床药房服务 临床药房服务
- 患者优先级工具 患者优先级工具
背景情况:
- 针对性临床药房服务 (CPS) 在医院中,有效的患者优先级是至关重要的.
- 在临床使用的实用患者优先级工具中存在很大的差距.
研究的目的:
- 开发,验证内容,并标准化一个名为PrioFarClinH的医院CPS的成人患者优先级工具.
主要方法:
- 使用了一种多步骤的方法,包括范围审查,德尔菲技术和药剂师调查.
- 内容验证涉及专家审查,评估相关性,可行性,清晰度和充分性,并计算内容有效性指数 (CVI).
- 标准化利用了回顾性观察研究和集团内部规范,以根据患者住院阶段建立优先级.
主要成果:
- 普里奥FarClinH包括51个标准跨越健康问题,治疗类,和实验室参数,与验证的内容 (CVI>0.78).
- 来自393名患者的数据为标准化提供了信息,P90百分位被确定在18.0 (24h),20.0 (72h) 和22.6 (中位数住院).
- 达到P90分数的患者被归类为CPS的高优先级.
结论:
- PrioFarClinH是一个全面的工具,用于识别和优先考虑最有可能从CPS中受益的成年患者.
- 已经确定了PrioFarClinH工具的足够的内容有效性.
- 需要进一步的验证研究来证实这种患者优先级工具的性能.
相关概念视频
01:28Preclinical Development: Overview
4.4K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
4.4K
01:12Analysis of Population Pharmacokinetic Data
252
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
252
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:11Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
01:26Drug Administration and Therapy Phases: Overview
451
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
451
01:15Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570