通过正确的安德克萨内特阿尔法的订购和管理来提高患者的安全性
Krystof Stanek1,2, Mohammad T Hussain3, Aaron C Spaulding4
1Division of Colorectal Surgery, Mayo Clinic, Jacksonville, FL.
Mayo Clinic proceedings. Innovations, quality & outcomes
|August 20, 2024
概括
处方安德克萨尼特阿尔法 (AA) 具有挑战. 许多患者没有达到订购或管理基准,表明需要改进流程和教育以确保患者安全.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 安德克萨尼阿尔法是抗Xa抗凝剂的逆转剂.
- 适当的处方和管理对于患者的安全至关重要.
研究的目的:
- 评估安德克萨尼特阿尔法的处方实践.
- 为了识别订购和管理andeksanet alfa. 的挑战.
- 为改善患者安全提供建议.
主要方法:
- 用安德克萨内特阿尔法治疗的成年患者的回顾性审查 (2018年1月 - 2020年3月).
- 根据已建立的基准对订单和管理的评估.
- 收集有关血栓并发症和死亡率的数据.
主要成果:
- 只有36%的剂量组符合订购基准.
- 14%的剂量组符合及时启动的行政基准.
- 没有一个剂量组符合所有管理基准.
- 观察到一个血栓事件和一个潜在的死亡.
结论:
- 在订购和管理andeksanet alfa.存在重大挑战.
- 需要优化订单集和简化管理.
- 频繁的提供者教育对于提高患者安全至关重要.
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