对比多个触发器工具在识别与药物相关的医院再接收时的性能
Nikki Lips1, Amit Singh2, Daniala Weir3
1Department of Internal Medicine, OLVG Hospital, Amsterdam, The Netherlands.
Journal of the American Geriatrics Society
|October 9, 2024
概括
OPERAM工具有效地识别了与药物相关的医院再入院 (MRRs),包括可以预防的. 然而,它的依赖隐性触发器需要进一步研究,以便在实际临床实施.
科学领域:
- 药物监督 药物监督 药物监督
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 与药物相关的医院再入院 (MRRs) 构成了重大挑战.
- 现有的用于识别MRR的触发工具在现实世界中准确性不确定.
- 将不同触发工具的性能进行比较对于提高患者安全至关重要.
研究的目的:
- 为了比较四个触发工具 (OPERAM,STOPP/START,ADR工具,QUADRAT) 在识别MRR时的准确性.
- 评估工具检测潜在可预防的MRR的能力.
- 评估每个工具中的明确与隐性触发器的贡献.
主要方法:
- 在30天内对1111例重入院病人的二次分析.
- 医生和药剂师对MRR和可预防性的临床判断.
- 由一个由医生和药剂师组成的独立小组应用四种触发工具.
主要成果:
- OPERAM确定了92%的MRR和82%的可能可预防的MRR.
- 在STOPP/START,ADR-tool和QUADRAT中发现的MRR显著减少 (13-42%).
- 与其他工具相比,OPERAM使用的隐性触发器比例更高.
结论:
- OPERAM工具在识别MRR和可能可预防的MRR方面表现出卓越的准确性.
- OPERAM的有效性部分是由于它使用了需要临床专业知识的隐性触发器.
- 需要进一步的研究来评估OPERAM在常规临床实践中的实际实施.
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