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住院局部格劳科马药物处方差异:对不准确调和的频率和风险因素的研究
Justin C Muste1, Obinna Ugwuegbu1, Param Bhatter1
1Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|December 16, 2024
概括
青光眼患者的药物处方差异 (MOD) 发生在大约三分之一的住院病例中. 以前的差异显著增加了未来在护理过渡期间订单错误的风险.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 局部玻璃眼药物对于管理初级开角玻璃眼 (POAG) 是至关重要的.
- 护理的转变带来了药物错误的高风险,影响了患者的安全和治疗的有效性.
研究的目的:
- 为了确定在护理过渡期间局部青光眼药物的药物订购差异 (MOD) 的发生率.
- 确定与POAG患者MOD风险增加相关的因素.
主要方法:
- 成年POAG患者接受局部绿眼病药物的回顾性队列研究.
- 手动查看图表,以确定处方差异.
- 后勤回归分析用于评估MOD的风险因素.
主要成果:
- 在30.5%的住院患者中观察到药物订单差异 (MOD).
- 接受三种局部格劳科马药物的患者患MOD的频率最高 (41.2%).
- 之前住院的差异显著增加了后续MOD的几率 (OR 5.1).
结论:
- 大约三分之一的住院患者遇到的 glaucoma 药物订购差异,突出了护理过渡中的问题.
- 在一次住院期间经历MOD的患者在随后的入院中面临MOD的风险要大得多.
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