在手术前评估中,以预防术后不良事件的最佳可能药物历史的电子药物记录:一个准实验性研究
Claire Chapuis1,2, Jean-Luc Bosson3, Jean-Didier Bardet3
1Anaesthesiology and Intensive Care, University Hospital, Grenoble, France CChapuis1@chu-grenoble.fr.
BMJ open quality
|March 3, 2025
概括
药剂师使用电子药物记录以获得最佳的药物史,显著减少了术后不良事件的29%. 这改善了药物调和,提高了手术前的患者安全.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 获得手术前药物数据对于预防不良事件至关重要.
- 在手术前获得准确的患者药物病史存在挑战.
研究的目的:
- 通过使用电子药物记录 (EPR) 评估药剂师领导的最佳可能药物史 (BPMH) 对术后AE的影响.
- 评估将EPR数据整合到手术前评估中的有效性.
主要方法:
- 在750名接受选择性骨科手术的成年患者中进行了准实验性研究.
- 干预组:药剂师使用EPR预评估进行了BPMH.
- 对照组:传统的手术前评估;手术后30天内监测AE.
主要成果:
- 在干预组中,至少有一次AE发生的患者减少了29% (29%与42%相比).
- 干预组中记录的药物数量显著增加 (3对2).
- 两组之间药物不良事件 (ADE) 没有显著差异 (19%对22%).
结论:
- 药剂师领导的BPMH使用全国范围的EPR有效地减少了术后不良事件.
- 这种方法增强了药物调和,并可能防止患者受到伤害.
- 将EPR数据整合到手术前护理中可以改善患者安全结果.
相关概念视频
01:30Methods of Documentation VII: EMR
823
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
823
01:26Methods of Documentation II: POMR
897
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
897
01:19Pharmacovigilance
764
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
764
01:19Purpose of Health Records II
959
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
959
01:18Guidelines and Strategies for Safe Computer Charting
785
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
785
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K