长期护理和康复的门诊环境中的抗凝药管理 - 一项多中心描述性试点研究
Maria Macoviciuc1, Christina Furneri1, Léa Callens2
1Department of Pharmacy, Jewish General Hospital, McGill University, Montreal, Canada.
Thrombosis research
|December 11, 2024
概括
药剂师领导的抗凝血管理计划 (ACSP) 在长期护理和康复环境中是可行的. 这些计划可以通过确定抗凝血剂处方所需的干预措施来提高药物安全性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 抗凝剂是药物不良事件的主要原因.
- 关于医院以外的抗凝血管理计划 (ACSP) 的数据有限,特别是在长期护理 (LTC) 和康复中心 (RC).
研究的目的:
- 评估在LTC和RC的门诊医疗机构中实施药剂师领导的ACSP的可行性.
- 评估这些独特环境中药剂师对抗凝血剂处方的干预率.
主要方法:
- 一个潜在的试点项目在3个RC和7个LTC设施中进行.
- 患者和抗凝血剂处方数据是在2023年5个月的时间内收集的.
- 衡量的主要结果是抗凝血剂处方审查的比例,导致药剂师干预.
主要成果:
- 纳入了411名患者,心房动是抗凝药最常见的指示.
- 直接口服抗凝剂 (DOAC) 是最常见的药物.
- 药剂师干预在22.6%的处方审查中进行,总计100次干预,主要与实验室订购和DOAC剂量调整有关.
结论:
- 在门诊LTC和RC环境中实施ACSP是可行的.
- ACSP应包括治疗性和血栓预防性抗凝剂.
- 需要进一步的研究,通过广泛的前性研究来评估持续监测的可行性和临床结果.
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