一个药剂师领导的过程来监测不一致的尿液药物查结果
Joseph Berendse1,2, Olivia Sharp2, Whitney Hutchison2
1South Dakota State University College of Pharmacy & Allied Health Professions, Brookings.
概括
药剂师主导的尿液药物查 (UDS) 审查通过促进处方者协作和优化确认测试来改善患者护理. 这个过程有助于有效地管理受控物质处方.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
- 药物监督 药物监督 药物监督
背景情况:
- 尿液药物查 (UDS) 对于监测受控物质处方,特别是阿片类药物的监测至关重要.
- 错误解释复杂的UDS结果可能会对患者与临床医生的关系产生负面影响.
- 退伍军人卫生管理局引入了一个临床仪表板,以识别与患者药物清单相比不一致的UDS结果.
研究的目的:
- 实施和评估一个由药剂师领导的审查不一致的UDS结果的过程.
- 评估这一过程对处方协作和确认测试的影响.
- 改善农村卫生保健环境中受控物质治疗的管理.
主要方法:
- 一个质量改进项目,涉及每周临床药剂师对UDS仪表板的审查.
- 对2022年6月至9月的显著不一致的UDS结果进行深入审查.
- 追踪药剂师干预,包括处方者咨询和处方药监测计划查询.
主要成果:
- 进行了700个UDS,其中60名患者 (约. 8.6%) 需要深入审查,因为存在重大差异.
- 药剂师干预包括39个处方者合作 (65%) 和25个处方药监测程序查询 (42%).
- 每周平均有4名患者需要审查,每人大约需要14分钟.
结论:
- 药剂师领导的监测过程对不一致的UDS结果加强了与处方者的合作.
- 这一举措对使用确认性UDS测试产生了积极的影响.
- 该过程在农村退伍军人事务卫生系统中证明了管理受控物质治疗的价值.
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