评估药房主导的RxChange干预措施对药物使用和电子处方成本结果的影响
Journal of the American Pharmacists Association : JAPhA
|February 12, 2025
概括
通过RxChange流程,简化了电子处方,提高了药物安全性,通过药房干预措施降低了成本. 该系统增强了沟通和可追溯性,以获得更好的患者护理.
科学领域:
- 医疗信息学 医疗信息学
- 药房实践 在药房实践中
- 药物安全 药物安全
背景情况:
- 电子处方 (电子处方) 工作流程可能会带来挑战,需要药剂师的干预.
- RxChange过程为药剂师提供了一种结构化的方法,以解决与供应商的处方差异.
- 评估RxChange对于优化药房提供商沟通,患者访问和安全至关重要.
研究的目的:
- 评估RxChange流程对电子处方内容的影响.
- 评估与RxChange干预相关的药物成本变化.
- 分析与药物安全性相关的修改,包括药物不良反应.
主要方法:
- 从Surescripts.com对国家RxChange交易 (2022-2023) 的回顾性分析.
- 对处方医生批准的交易进行分层随机抽样.
- 在RxChange之前和之后分析药物数据 (活性成分,强度,剂量形式,成本),利用RxNorm API和医疗支出小组调查数据.
主要成果:
- 分析了超过130万笔交易;31.3%的交易导致了药房驱动的重大修改.
- 在43,293笔交易中,每项干预措施的平均单位成本节省为3.5美元.
- 强度调整是最常见的;缺货问题导致复杂的变化;25.8%的ADR相关请求导致了成分/强度的修改.
结论:
- 药房发起的RxChange通信显著提高了电子处方的质量和干预的可追溯性.
- 该过程促进了关键的药物调整,并支持改善药物安全.
- 通过RxChange,药房和提供者之间的合作对于解决处方挑战至关重要.
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