实施标准化息护理药剂师降低处方评估的实施
Ibtihal I Makki1,2, Heather K Cook2, Nicole Bartell2
1University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Journal of palliative medicine
|March 20, 2025
概括
近40%的息护理患者适合减缓处方,减少药物负担. 息护理 (PC) 药剂师有效地识别和实施了没有观察到短期临床危害的降低处方机会.
科学领域:
- 药理学 药理学是指药理学的学科.
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息护理 (PC) 患者经常经历多药制,导致增加药物负担,不良药物事件和跌倒.
- PC药剂师对于药物管理至关重要,包括停止处方,但对机会的证据有限.
研究的目的:
- 为了确定住院PC患者的抑郁症的机会.
- 为了确定与抑郁症的机会相关的患者因素.
- 评估抑郁症推,实施和临床结果.
主要方法:
- 电子健康记录的回顾性审查.
- 包括六家医院的成年患者转移到住院PC服务.
- 对药剂师评估的分析,以减少处方的适当性和建议.
主要成果:
- 评估的PC患者中有39.2%适合减记,平均每患者有3.4次推.
- 白人患者和患病严重程度较高的患者更有可能适合抑郁症.
- 肠道治疗方案,电解质补充,维生素和液体通常被处方;建议被广泛接受,没有短期危害.
结论:
- 大约五分之二的息护理患者有机会进行抑郁症.
- 息护理药剂师在识别和实施抑郁症干预措施方面是有效的.
- 在息护理中,可以安全地实施减缓处方,而不会产生短期的不良临床结果.
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