采用抗血栓管理和使用临床决策支持系统 - 在荷兰医院进行基于问卷的调查
Jetske Graafsma1, Joanna E Klopotowska2,3, Hieronymus J Derijks4
1Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
PloS one
|June 21, 2024
概括
抗瘤药物管理的采用是多种多样的,最常见的是协议开发和教育. 医院使用基本的临床决策支持系统 (CDSS) 警报进行监测,表明可以改善安全使用抗血栓剂的空间.
科学领域:
- *药理学和治疗学 *药理学和治疗学
- * 医疗保健服务研究研究
- * * 患者安全
背景情况:
- *抗血栓药物需要谨慎监测,以防止不良事件.
- *抗血栓管理和临床决策支持系统 (CDSS) 旨在加强安全药物使用.
- *先前的研究表明,抗血栓剂会造成持续的伤害,这表明管理和CDSS的实施不足于最佳.
研究的目的:
- * 评估荷兰医院采用抗血栓管理措施的程度.
- * 评估CDSSs在支持安全抗血栓使用方面的利用情况.
- * 为了确定用于监测抗血栓治疗的CDSS警报的特征.
主要方法:
- * 一个半结构化问卷调查分发给12家医院药剂师在不同的荷兰医院.
- *主要结果衡量了在五个关键任务中采用抗血栓管理的程度.
- *次要结果集中在使用的CDSS警报的类型和复杂性上.
主要成果:
- *所有接受调查的医院都报告在一定程度上采用抗血栓管理,其中5项任务中平均采用2项.
- * 协议开发 (100%) 和专业教育 (58%) 的采用率最高.
- *所有医院都使用了CDSS,主要是基本警报 (例如,识别同时使用抗血栓剂),而不是高级警报.
结论:
- *虽然抗血栓管理是普遍采用的,但实施任务的范围在各医院之间有很大差异.
- * 基本CDSS警报的普遍使用表明需要更复杂的系统集成来优化抗血栓安全.
- *需要进一步的研究,以了解全面管理和先进的CDSS实施的障碍和促进者.
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