一项模拟研究,以定量评估电子处方系统在英国NHS医院信托机构的性能
Stephanie Klein1, Athanasios Tsanas2, Jamie Coleman3,4
1Pharmacy Department, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE1 4LP, England, UK. Stephanie.klein@nhs.net.
Scientific reports
|January 15, 2025
概括
电子处方 (EP) 系统可以减少药物错误,但它们的性能有很大差异. 一个新的工具ePRaSE揭示了NHS信托机构EP系统安全检查中的不一致性,突出了优化机会.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 处方错误是医疗机构中患者伤害的重要原因之一.
- 电子处方 (EP) 系统提供了自动安全检查的潜力,以减轻这些错误,例如识别药物过敏.
- 尽管国家卫生服务 (NHS) 信托机构广泛采用了各种EP系统,但其实际性能和安全缓解能力仍未得到评估.
研究的目的:
- 评估在NHS信托中使用的不同电子处方 (EP) 系统的性能和安全缓解能力.
- 引入和验证电子处方风险和安全评估 (ePRaSE) 工具,以评估EP系统的性能.
- 识别EP系统风险管理中的变化,并突出性能优化的机会.
主要方法:
- 开发基于网络的电子处方风险和安全评估 (ePRaSE) 工具,其中包括一个全面的处方场景库.
- 从45个英国NHS信托中招募68名药剂师,使用ePRaSE工具测试13个不同的EP系统.
- 分析EP系统在正确识别不同信托和系统的处方风险方面的缓解性能.
主要成果:
- 在不同NHS信托机构的EP系统缓解性能中观察到显著的变化.
- 不同的EP系统之间也发现了性能不一致,这表明需要进行标准化的评估.
- 即使在使用相同EP系统的NHS信托机构中,缓解性能也发生了实质性的变化,这表明系统配置和实施因素至关重要.
结论:
- ePRaSE工具有效地识别了NHS信托机构中EP系统提供的风险管理的显著变化.
- 有相当大的机会来优化EP系统的配置和实施,以提高其安全性能.
- 更广泛地采用和使用ePRaSE工具可以推动EP系统设计和配置的改进,最终减少处方错误的危害.
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