减少兴奋剂处方错误:儿童门诊环境中的质量改进倡议
Natthaphon Watthanathiraphapwong1, Pathrada Traipidok, Pattra Charleowsak
1Department of Pediatrics, Faculty of Medicine, Prince of Songkhla University, Songkhla, Thailand .
桑克拉纳的ADHD多学科评估和护理团队以提高质量 (SAMATI) 计划显著减少了儿童ADHD护理中的兴奋剂处方错误. 这种质量改善策略也提高了家长对ADHD管理的满意度.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 临床药房 临床药房
- 提高质量 提高质量
背景情况:
- 注意缺陷多动症 (ADHD) 管理需要对兴奋剂的处方给予谨慎的注意.
- 儿科ADHD护理中的药物错误可能会影响患者的安全性和治疗疗效.
- 多学科的方法对于优化ADHD治疗方案至关重要.
研究的目的:
- 评估Songklanagarind ADHD多学科评估和质量改善护理团队 (SAMATI) 倡议的影响.
- 评估在儿科门诊环境中减少兴奋剂处方错误的情况.
- 测量SAMATI倡议实施后家长满意度的变化.
主要方法:
- 从2017年1月到2023年6月,对ADHD注册表数据进行了回顾性分析.
- 间断时间序列和控制图分析,以评估SAMATI倡议的影响.
- 包括审计和反,临床药剂师的参与,以及电子医疗记录的使用.
主要成果:
- 处方错误的显著减少,包括药物条件相互作用 (443至145) 和不充分的监测 (115至14).
- 缺乏定期的办公室访问 (98到21) 和不适当的剂量错误 (66到14) 的减少.
- 提高了父母的满意度,从84%提高到95%的倡议后.
结论:
- 萨马蒂倡议有效地减少了儿童多动症治疗中的兴奋剂处方错误.
- 多学科方法在药物管理和患者安全方面取得了显著的改进.
- 提高家长满意度表明对ADHD护理的整体质量产生了积极影响.
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