政府与达卡私立医院处方模式和错误的比较分析:一个横截面研究
Md Abdus Samad1,2, K M Yasif Kayes Sikdar3, Ashfia Tasnim Munia4
1Department of Pharmacy, Faculty of Pharmacy University of Dhaka Dhaka Bangladesh.
Health science reports
|August 13, 2024
概括
在达卡的政府和私人医院中,处方错误很常见. 私立医院显示出更高的多药房率,而政府医院则有更多的遗漏错误,表明需要改进处方实践.
科学领域:
- 药理学和制药学 药理学和制药学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 处方错误可能会对治疗疗效和患者安全产生负面影响.
- 了解处方模式和错误类型对于改善医疗保健质量至关重要.
研究的目的:
- 为了比较处方模式并识别政府与孟加拉国达卡私立医院的错误.
- 评估遵守世界卫生组织 (WHO) 的处方指标,多药和遗漏错误.
主要方法:
- 一项横截面研究分析了达卡政府和私人医院门诊部门的399份处方.
- 使用STATA 15的统计分析,使用奇平方和费舍尔精确测试来确定显著的关联 (p <0.05).
主要成果:
- 私立医院 (52%) 的处方数量略高于政府医院 (48%).
- 在私人 (5.87) 与政府 (5.16) 医院中,每处方药物的平均数量较高;在71.01%的私人医院和49.47%的政府处方中观察到多种药物.
- 政府医院遵守了67.97%的基本药物清单指标,而私人医院遵守了80.42%;两者都显示出与世卫组织指标的偏差,政府医院有更多的遗漏错误,私人医院有更高的多药率.
结论:
- 这两种医院类型都表现出处方偏差,具有明显的错误概况:政府医院显示更多的遗漏错误,私人医院显示更高的多药性.
- 医疗保健提供者应专注于减少遗漏错误和多药性,同时遵守世卫组织为更安全的患者护理规定指南.
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