药物不良事件在门诊环境中的频率和可预防性
Rachel L Wasserman1,2, Heba H Edrees3, Mary G Amato3
1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA rwasserman@bwh.harvard.edu.
BMJ quality & safety
|July 9, 2024
概括
药物不良事件 (ADEs) 影响了门诊患者中的5%患者,其中心血管和中枢神经系统药物最常涉及. 这些药物安全问题凸显了改善门诊患者安全策略的必要性.
科学领域:
- 药物监督 药物监督 药物监督
- 患者安全 患者安全
- 健康 结果 研究 研究 结果
背景情况:
- 关于门诊医疗机构的药物不良事件 (ADEs) 的数据有限.
- 了解ADE发生率,严重程度和可预防性对于改善患者护理至关重要.
研究的目的:
- 确定在门诊环境中ADE的发病率,严重程度和可预防性.
- 确定在门诊护理中预防ADE的潜在策略.
主要方法:
- 2018年马萨诸塞州13个门诊站点电子健康记录的回顾性审查.
- 分析包括来自3323名18岁以上患者的13416例门诊接触.
- 通过触发因素确定了ADEs,由护士审查,并由医生裁决.
主要成果:
- 5%的患者至少经历过一次ADE.
- 心血管,中枢神经系统和抗感染药物是最常见的药物类别.
- 85%的ADE是显著的,22%是可以预防的,并确定了246种潜在的预防策略.
结论:
- 尽管采取了患者安全措施,但在门诊机构中,与药物相关的危害仍然很常见.
- 对于门诊护理,患者安全协议的进一步改进是必要的.
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