针对家长的培训,防止使用长期抗发作药物的临床相关处理错误
Almuth Kaune1,2,3, Pia Madeleine Schumacher1,2,4, Martina Patrizia Neininger1,2,5
1ZAMS - Zentrum für Arzneimittelsicherheit, Universität Leipzig und Universitätsklinikum Leipzig Medizinische Fakultät, Leipzig, Germany.
Klinische Padiatrie
|December 27, 2024
概括
一个新的培训计划显著减少了对长期抗发作药物 (ASM) 给儿童的父母的药物处理错误 (ME). 这一干预措施通过降低高风险错误,改善了慢性病儿科患者的药物安全性.
科学领域:
- 儿科神经学 儿科神经学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 在长期服用抗发作药物 (ASM) 时,药物处理错误 (ME) 对患者的安全构成风险.
- 防止这些错误的家长培训计划是有限的.
研究的目的:
- 评估患者特异性,适应风险的培训干预措施的有效性,用于父母向儿童施用ASM.
- 为了比较接受培训的干预组与接受常规护理的对照组中的药物处理错误.
主要方法:
- 一项受控前性研究,涉及长期ASM儿童 (0-18岁) 的父母.
- 在家访期间评估了药物处理错误.
- 一个专家小组对54种ME类型的临床风险进行了分类 (得分0到得分6).
主要成果:
- 干预组 (IG) 显示每名患者的ME减少 (中位数为5至4,p=0.018).
- 总体ME从对照组 (CG) 的589下降到IG中的432
- 对于高风险ME (分数-5: 55.0%,分数-4: 27.6%,分数-3: 23.1%) 和管理步骤 (制备:56.6%,口服:22.4%) 观察到显著的相对风险降低 (RRR).
结论:
- 与常规护理相比,风险调整培训显著减少了高风险的药物处理错误.
- 该干预措施提高了长期使用ASM的慢性病儿童的药物安全性.
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