在住院白血病服务中的临床药房干预措施的定性分析
Rand Al-Hadaddin1, Nour Mustafa1, Ahmad Alyamani1
1Department of Pharmacy, King Hussein Cancer Center, Amman, Jordan.
概括
临床药剂师通过直接干预,药物错误检测和药物不良反应识别,显著影响白血病患者的护理. 他们的文献突出了他们在多学科血液学治疗策略中的关键作用.
科学领域:
- 血液学 血液学 血液学
- 临床药房 临床药房
- 在瘤学瘤学.
背景情况:
- 白血病管理需要采用多学科的方法,临床药剂师发挥着至关重要的,但未得到充分记录的作用.
- 了解临床药房干预措施 (CPI) 的范围和特征对于优化血液恶性瘤患者护理至关重要.
研究的目的:
- 在白血病患者中描述临床药房干预 (CPI).
- 分析CPI类型,包括直接临床药剂师干预 (DCPI),药物错误 (ME) 和药物不良反应 (ADR).
- 确定与这些干预和事件最频繁相关的药物类别.
主要方法:
- 从2019年1月到2023年6月在Quantifi®数据库中记录的CPI的回顾性分析.
- 对CPI进行分类,分为DCPI,ME和ADR.
- 分析干预特征,相关药物,错误原因和反应类型.
主要成果:
- 总共记录了6286个CPI,其中DCPI占90.7%.
- 药物治疗中止是最常见的DCPI (18.9%),其中抗微生物药物最常见 (34.9%).
- 抗瘤剂与ADRs (71.9%) 最多相关,而药房内部错误导致了大多数ME (48.2%).
结论:
- 临床药剂师是白血病患者护理的组成部分,积极干预药物治疗,并识别关键的药物错误和不良药物反应.
- 这项研究强调了药剂师在提高血液学中患者安全和治疗疗效方面的重要作用.
- 需要进一步研究这些干预措施的临床结果和经济影响.
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