术前药物护理咨询的成本效益:5年分析
Daniel Gómez Costas1, Almudena Ribed2, Alvaro Gimenez-Manzorro1
1Pharmacy, Hospital General Universitario Gregorio Maranon, Madrid, Spain.
概括
术前药物护理咨询具有成本效益,可以防止药物错误,并降低手术患者的成本. 优先考虑患者服用抗凝血剂,抗糖尿病药物和-血管新生素系统药物可以最大限度地提高效益.
科学领域:
- 药物经济学 药物经济学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 手术前的药物错误对手术患者构成重大风险.
- 药物护理咨询可以识别和预防这些错误.
- 分析这些商的成本效益对于资源分配至关重要.
研究的目的:
- 评估手术前药物护理咨询的成本效益.
- 确定从这些咨询中获益最多的患者子组.
- 为医疗保健机构实施此类服务提供信息.
主要方法:
- 对接受手术前药房咨询的患者的回顾性分析 (2016-2020年).
- 预防的药物错误按治疗组和错误类型进行分类.
- 对不良事件的分配概率 ("p") 和计算的成本节约.
- 对成本效益比率进行的敏感性分析.
主要成果:
- 预防了1179个药物错误,避免了1,237,200欧元至2,083,800欧元的成本.
- 成本效益比率从每投资1欧元的4.2欧元到7.0欧元.
- 接受氨酸 - 血管新生素系统药物,抗糖尿病药物和抗血栓剂的患者被优先考虑.
结论:
- 在西班牙,手术前的药物护理咨询是一个具有成本效益的战略.
- 基于不良事件概率的优先级增强了咨询的影响.
- 这些咨询减少了手术患者的药物错误成本,支持更广泛的实施.
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