在接受冠心血管造影的奥地利患者中,药物计划的当前实践:深入分析
Johannes B Vogel1,2, Magdalena Neyer1,2, Pascal Elsner1,2
1Faculty of Medical Sciences, Private University in the Principality of Liechtenstein (UFL), 9495 Triesen, Liechtenstein.
Journal of clinical medicine
|June 19, 2024
概括
奥地利患者在入院时经常缺乏完整的药物计划. 大多数药物文件是不完整或不准确的,对患者的安全和药物治疗的有效性构成风险.
科学领域:
- 药物治疗 药物治疗
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 完整的药物计划 (MPlan) 对于药物安全性和药物遵守至关重要,特别是在护理过渡期间.
- 标准化的MPPlans提高了患者对药物的理解和管理.
- 奥地利缺乏标准化的MPPlan和关于其当前使用的数据.
研究的目的:
- 调查奥地利高危人群住院时的药物记录 (MDocs) 的现状.
- 评估现有多边计划的质量和完整性.
主要方法:
- 连续512名接受选择性冠状动脉血管造影的患者被纳入.
- 药物文件 (MDocs) 和药物在入院时被记录下来.
- MPlans被定义为表格式列表,包含特定药物详细信息.
主要成果:
- 485名患者中有55.1%患有MDoc;其中54.3%是MPPlans.
- 31.3%的多药店患者缺乏任何MDoc.
- 64.4%的MPPlans与当前药物药物存在差异,只有10.7%的准确率.
结论:
- 奥地利的常规实践不足以达到标准化药物治疗计划.
- 不准确的MPPlans对药物治疗的有效性和患者安全构成重大风险.
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