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释放订单验证流程以减少处方错误和优化糖尿病管理
Marissa Cavaretta1, Rabya Mirza2, Joseph T Finn3
1Clinical Associate Professor, Department of Pharmacy Practice; Temple University School of Pharmacy, Philadelphia, PA, 3307 North Broad St. Philadelphia, PA 19140.
Journal of the American Pharmacists Association : JAPhA
|February 15, 2025
概括
药剂师对释放抗糖尿病处方的审查显著减少了糖尿病患者的错误. 这一倡议在电子处方之前优化了药物治疗方案,改善了患者的安全和护理.
科学领域:
- 药房实践 在药房实践.
- 药物安全 药物安全
- 糖尿病管理 糖尿病管理
背景情况:
- 出院处方错误会对患者产生负面影响,特别是那些患有糖尿病的人.
- 以团队为基础,以患者为中心的方法可以减少药物错误并改善结果.
- 一项由住院药剂师领导的倡议被实施,用于在电子处方之前验证抗糖尿病药物处方.
研究的目的:
- 评估药剂师领导的抗糖尿病药物的出院订单验证的有效性.
- 提高DM患者的处方准确性和适当性,在向社区药房传输之前.
主要方法:
- 一项为期4周的概念验证研究,涉及成年DM患者,有出院令.
- 在电子健康记录 (EHR) 中审查了命令的安全性,有效性和可访问性.
- 药剂师的干预被记录下来,并收集了有关干预类型,接受度和结果的数据.
主要成果:
- 对63名患者的152个订单进行了验证;60.3%需要干预.
- 进行了56次干预,包括添加必要的药物,澄清说明和调整剂量.
- 73.7%的患者在优化的药物治疗方案下出院.
结论:
- 一个由药剂师驱动的出院订单验证过程有效地识别和纠正抗糖尿病处方中的错误.
- 这种模型可以提高DM患者在出院时的药物安全性.
- 提供者的高接受率和执行率表明药剂师干预的价值.
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