开发和验证一种工具,以评估与药物相关的出院文件的质量和完整性
Emma Bertilsson1, Victoria Östman1, Henrik Cam1
1Department of Pharmacy, Uppsala University, Uppsala, Sweden.
Journal of evaluation in clinical practice
|February 7, 2025
概括
一个新的工具,即"放药时的完整药物文件 - 措施" (CMDD-M),可靠地评估药物放药文件的质量. 这有助于在护理过渡期间改善患者安全.
科学领域:
- 药物经济学 药物经济学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护理的转换带来了药物错误的风险,通常是由于出院文件不够好.
- 药物释放文件的缺陷可能导致药物使用不足于最佳水平,并增加了医院再入院.
- 现有法规要求提供全面的药物释放信息,但临床实践中的差距仍然存在.
研究的目的:
- 为了验证出院时的完整药物文档 - 措施 (CMDD-M) 仪器.
- 评估瑞典临床环境中药物释放文件的质量和完整性.
主要方法:
- 通过多个阶段开发和完善CMDD-M工具.
- 两名临床药剂师和一名老年医生使用CMDD-M独立评估了50名患者的出院文件.
- 评价者之间的可靠性 (IRR) 用加权的科恩卡帕系数 (线性和二次性) 计算.
主要成果:
- 在9分中,CMDD-M的平均得分为3.40 (SD ± 2.50).
- 药剂师们显示出几乎完美的协议 (κW 线性=0.92, κW 正方形=0.97).
- 药剂师和老年医生之间的协议是中等到强的 (κW 线性=0.64, κW 正方形=0.80).
结论:
- CMDD-M 显示了强大的评级者间可靠性,表明了一致和准确的测量.
- 该仪器是用户友好的,用于评估药物释放文档的质量.
- 需要进一步的研究来证实有效性,概括性和临床结果关联.
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