在住院血液病患者的药物调整
Alejandro Sanjuán Belda1, María Vuelta Arce1, Jorge Del Estal Jiménez2
1Servicio de Farmacia, Hospital Universitari Joan XXIII de Tarragona, Tarragona, España.
概括
不合理的差异,包括药物遗漏和药物相互作用,在血液病患者中很常见. 改善药物调和过程,特别是在出院时,对于患者安全至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 药物调整是预防药物错误的关键过程.
- 血液病学患者往往有复杂的药物治疗方案,增加差异的风险.
- 标准化药物调和协议对于改善患者护理至关重要.
研究的目的:
- 分析住院血液病患者药物调整中的不合理差异.
- 评估药物干预措施的发现差异.
- 确定血液病患者的药物调和协议中需要改进的领域.
主要方法:
- 进行了一项横截面的观察试点研究.
- 包括血液学服务的成年住院患者 (2022年8月至10月).
- 收集的数据包括差异类型,药物干预和接受率.
主要成果:
- 58.3%的患者至少有一个不合理的差异.
- 药物疏忽 (56.8%) 和药物相互作用 (24.3%) 是最常见的差异.
- 药物干预在97.4%的病例中被接受,药物重新引入是最常见的 (48.6%).
结论:
- 药物遗漏和药物相互作用是血液学中的关键差异.
- 多药和化疗增加了药物相互作用的风险.
- 制定出院调和流程对于提高患者安全和减少错误至关重要.
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