通过实施卡塔尔工具来减少在门诊老年人中不适当的药物 (QTRIM) 来提高药物安全性
Ameena Alyazeedi1,2, Mohamed Sherbash1, Ahmed Fouad Algendy1
1Pharmacy Department, Rumailah Hospital, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.
Healthcare (Basel, Switzerland)
|June 26, 2024
概括
减少不适当药物使用的卡塔尔工具 (QTRIM) 在老年人中显著减少了潜在不适当药物 (PIM) 处方. 这项质量改善计划提高了门诊药房环境中的药物安全性.
科学领域:
- 老年人药房 老年人药房
- 药物安全 药物安全
- 提高质量 提高质量
背景情况:
- 老年人因不适当使用药物而面临不良事件的高风险.
- 优化医疗保健提供需要保护这一群体免受与药物相关的伤害.
研究的目的:
- 评估卡塔尔减少不适当药物使用 (QTRIM) 工具在改善 ambulatory 老年人药物安全方面的有效性.
- 评估QTRIM实施对潜在不合适药物 (PIM) 处方的影响.
主要方法:
- 使用Beers标准和当地配方数据开发的QTRIM在卡塔尔Rumailah医院的两个门诊药房 (老年医学和皮肤病学) 实施.
- 采用质量改进方法,评估关键绩效指标 (KPI),包括在实施前后 (2022年7月至2023年9月) 减少PIM处方.
主要成果:
- 在老年药房,PIM处方从每1000个订单的1.2下降到0.8,三环抗抑郁药 (66.6%),第一代抗胰岛素 (51.7%) 和肌肉松剂 (33.3%) 的显著减少.
- 在皮肤病学中,PIM处方从每1000个订单中的8个下降到5个,其中抗组胺剂 (49.4%) 的减少最大.
结论:
- 实施QTRIM,加上药房文档监控,大大减少了在专门的门诊药房分发的PIM,服务于老年人.
- "QTRIM"是一个有希望的有效策略,可以提高门诊药房环境中的药物安全性.
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