使用患者门户来查患者在开始新药后的症状
Sonam Shah1, Alejandra Salazar, Samuel Bennett2
1From the Mass General Brigham.
Journal of patient safety
|August 7, 2024
概括
一个新的电子患者门户系统,用于积极的药监督查是可行的. 该系统在约四分之一的患者中确定了潜在的不良药物反应 (ADR),显示出比其他方法更高的响应率.
科学领域:
- 药物监督 药物监督 药物监督
- 数字健康数字健康
- 患者安全 患者安全
背景情况:
- 传统的药物监测依赖于被动报告,可能低估药物不良反应 (ADRs).
- 电子健康记录和患者门户网站为积极的患者监测提供了机会.
研究的目的:
- 设计和测试使用电子患者门户的积极药监系统的可行性.
- 测量患者的反应率,并描述报告的症状和问题.
- 为患有潜在药物相关问题的患者提供支持.
主要方法:
- 一个自动化系统每天生成关于新处方的报告.
- 通过门户邀请患者报告可能与新药物相关的新症状.
- 报告的症状使用MedDRA进行了分类,患者获得了随访支持.
主要成果:
- 29.4%的患者回应了门户邀请.
- 在开始新药的患者中,25.9%报告了潜在的副作用.
- 胃肠道疾病是最频繁报告的副作用 (30%).
结论:
- 对潜在的副作用进行系统的,基于门户的监测是可行的和有效的.
- 与自动电话相比,这种方法实现了更高的响应率.
- 该系统在约25%的患者中确定了潜在的副作用,与现有文献一致.
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