多药房行动:为老年患者设计和评估一个由药剂师领导的门诊护理诊所
Nicha Tantipinichwong1, Michelle S Keller2
1Cedars-Sinai Medical Network, Pharmacy Services, Beverly Hills, CA, USA. Nicha.Tantipinichwong@cshs.org.
Scientific reports
|December 31, 2024
概括
药剂师领导的多药店诊所有效地减少了药物负担,并提高了老年人的安全性. 这些诊所成功地处方了药物,包括可能不合适的药物,提高了药物清单的准确性和患者的治疗结果.
科学领域:
- 老年病的医生 老年病的医生
- 临床药房 临床药房
- 药物经济学 药物经济学
背景情况:
- 多药性,即多种药物的使用,对老年人构成重大风险,包括不良药物事件和降低生活质量.
- 管理来自多个处方方的众多药物需要一个全面的战略,以减轻潜在的危害.
- 药剂师主导的干预措施已经在治疗糖尿病和高血压等慢性疾病方面取得了成功,这表明了更广泛的多药房管理的潜力.
研究的目的:
- 描述一个专门为老年人服务的多药店诊所的设计和评估前后结果.
- 评估诊所对药物处方减少,药物清单准确性以及潜在不合适药物 (PIM) 和具有强抗胆性质的药物 (DSAP) 的患病率的影响.
主要方法:
- 对2022年10月至11月期间的多药店诊所访问进行了回顾性标准化图表审查.
- 数据收集包括患者人口统计,药物计数,药物清单准确性以及干预前后存在PIM和DSAP.
- 该研究包括84次多药店访问,患者平均年龄为80岁.
主要成果:
- 患者在初次诊所平均服用17.3种药物,平均每次诊所服用1.4种药物.
- 干预后,药物清单准确度从66%提高到72%.
- 在参加诊所后,PIM患者的比例下降了28%,DSAP患者的比例下降了54%.
结论:
- 多药房诊所模型有效地改善了老年人的药物管理.
- 干预成功地减少了药物负担,提高了药物清单的准确性,并减少了PIM和DSAP的使用.
- 药剂师主导的多药店诊所提供了一种有价值的方法,以减轻与老年人群复杂药物治疗方案相关的风险.
更多相关视频
相关概念视频
01:28Drug Therapy
38
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
38
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:29Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
01:12Analysis of Population Pharmacokinetic Data
224
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
224
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
41
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
41
01:06Three-Compartment Open Model
144
The three-compartment open model is a pharmacokinetic model used to describe the distribution and elimination of drugs following extravascular administration. It comprises a central compartment representing the plasma and two peripheral compartments. The highly perfused peripheral compartment represents organs and tissues with a rich blood supply, such as the liver, kidneys, and lungs. The scarcely perfused peripheral compartment represents tissues with lower blood supply, such as adipose...
144