分析药物名称相似性对分配错误的影响:使用药物名称相似性指数的检查
Haruka Sagawa1, Hayato Kizaki1, Kodai Yoshikawa1
1Division of Drug Informatics, Keio University Faculty of Pharmacy.
Biological & pharmaceutical bulletin
|August 28, 2024
概括
药品名称的相似性显著增加了医院的发行错误. 评估药物名称和疗效相似性可以帮助识别风险并预防药物错误.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 发行错误是医疗保健中关键的患者安全问题.
- 药品名称相似性被怀疑是导致药物错误的一个因素.
研究的目的:
- 研究药品名称相似性对临床环境中药品发行错误的影响.
- 评估m2-vwhtfrag指数对评估发行错误风险的有用性.
主要方法:
- 分析了来自日本一家急性病医院的563个发药错误 (2015年4月至2018年6月).
- 药物名称相似性的分类 (名称相似,名称不相似) 使用m2-vwhtfrag索引.
- 药物疗效相似性的分类 (疗效相同,疗效接近,疗效远).
- 基于药物名称和疗效相似性组合的分配误差比例的计算.
主要成果:
- 处方错误比例最高 (36%) 发生在有效性相同和名称相似的组中.
- 最低的比例 (0.022%) 观察到在效率-远程和名称-不相似组.
- 与名字不同药物对相比,名字相似药物对在所有疗效类别中显示出明显更高的发行错误比例.
结论:
- 药品名称相似性是处方错误的一个重要风险因素.
- m2-vwhtfrag指数是评估临床实践中发药错误风险的一个有价值的工具.
- 评估药物名称和疗效相似性可以帮助识别错误的原因,并预测新药的风险.
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