药房主导的干预措施,以逆转和防止处方级联在初级保健:一个概念验证研究
Atiya K Mohammad1,2, Jacqueline G Hugtenburg3, Yildiz Ceylan4
1Department of Clinical Pharmacy, OLVG Hospital, Amsterdam, The Netherlands.
International journal of clinical pharmacy
|February 15, 2025
概括
药房干预可以帮助逆转和防止处方级联,其中一种药物引起副作用导致另一个处方. 需要进一步的研究来改进查方法,以便更广泛地采用.
科学领域:
- 临床药房 临床药房
- 药物监督 药物监督 药物监督
- 药物安全 药物安全
背景情况:
- 处方级联发生在药物不良反应 (ADR) 导致新处方时.
- 这些级联在临床实践和药物安全方面构成了重大挑战.
研究的目的:
- 证明药房主导干预措施的可行性,以扭转和防止处方级联.
- 为药剂师参与管理这些复杂的药物问题提供概念验证.
主要方法:
- 两个社区药房实施并评估了两个干预策略:一个是扭转现有的布,另一个是防止新的布.
- 干预措施包括审查药品发行记录,与患者进行ADR评估的联系,以及与处方医生的合作.
- 结果包括治疗变化,时间投资,成本效益和药剂师经验.
主要成果:
- 逆转干预包括24名患者,在与处方医生商后,成功逆转了三个级联.
- 预防干预涉及44名患者,在6名患者中确定了潜在的级联,其中2名被预防.
- 估计的时间投资是可以管理的,这两种方法都显示出节省成本的潜力.
结论:
- 药房主导的干预措施在解决处方级流方面表现有前途.
- 为了更广泛的实施,需要进一步开发高效的选工具和方法.
- 药剂师发现需要增强知识来管理特定的级联情景.
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