评估在熟练护理机构中不适当粉碎药物的比例
Alicia Brunemann1, Alexandra Schifano1, Stephanie Fenwick1
11 University of Cincinnati James L Winkle College of Pharmacy, Cincinnati, Ohio.
The Senior care pharmacist
|February 1, 2025
概括
一项研究发现,27%的熟练护理患者接受了不适当地粉碎的药物,突出了高级护理药剂师在药物安全和遵守制造商指南方面的关键作用.
科学领域:
- 老年人药房 老年人药房
- 药物管理 药物管理
- 患者安全 患者安全
背景情况:
- 粉碎不用于此类药物的药物对患者构成风险,特别是在老年护理机构.
- 识别和纠正不适当的药物粉碎对于保持治疗疗效和患者安全至关重要.
研究的目的:
- 评估老年护理药剂师干预措施对药物管理的影响,使用"不要粉碎" (DNC) 清单.
- 为了确定在熟练护理机构中接受不适当粉碎药物的患者的患病率.
主要方法:
- 具有技能的护理居民的回顾性评估,使用DNC名单上的活性药物.
- 结果包括患者接受不适当的DNC药物的患病率,有或没有肠道养管,NPO状态,或无法/不愿意吞.
主要成果:
- 在778名包括熟练护理患者的患者中,约有27%的患者接受了不适当地粉碎的药物.
- 这些患者中有90%需要药剂师干预,涉及473种药物.
- 不适当粉碎的常见原因包括消化不良 (130名患者) 和拒绝全吞 (122名患者).
结论:
- 老年护理药剂师是确保药物按指南使用和探索替代配方的重要组成部分.
- 在熟练的护理机构中,高比例的 (27%) 不适当地粉碎药物需要药剂师的监督.
- 对药物的未经说明的粉碎的可能性进一步使准确的药物管理复杂化.
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