一个出院后的药剂师诊所,以减少再入院:一个回顾性队列研究
Jaclyn Costello1,2, Michael Barras3,4, Centaine L Snoswell3,5
1The School of Pharmacy, The University of Queensland, 20 Cornwall Street, Woolloongabba, Brisbane, QLD, 4102, Australia. j.costello@uq.edu.au.
International journal of clinical pharmacy
|April 26, 2025
概括
一个由医院药剂师领导的退院后药物审查诊所显著减少了30天的再入院. 这种干预措施改善了患者的护理过渡,并通过防止不必要的医院重访来降低医疗保健成本.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 医院再入院对在护理环境之间过渡的患者构成重大风险.
- 在医疗保健转型期间,药物错误和不良药物事件很常见.
- 出院后的药剂师干预是减轻再接收风险的建议策略.
研究的目的:
- 评估药剂师领导的出院后药物审查诊所对30天医院再入院的影响.
- 评估药剂师对现有和新疗法的审查和评估 (PREVENT) 诊所的有效性.
- 确定延长药物护理在减少成人患者再入院的作用.
主要方法:
- 一项回顾性队列研究将参加PREVENT诊所的患者与与案例匹配的对照组进行比较.
- 纳入标准:成年患者 (≥18岁) 在出院后30天内参加诊所治疗.
- 主要结局:无计划,所有原因的30天住院再入院.
主要成果:
- 170名患者被纳入PREVENT临床组和对照组.
- 与对照组 (23.5%) 相比,PREVENT诊所组的再入院人数显著减少 (7.1%).
- 统计学显著性得到证实 (χ2 = 17.799,p < 0.001).
结论:
- 一个医院的药剂师领导的退院后药物审查诊所有效地减少了30天的再入院.
- 这种干预措施支持将药物护理延伸到退院后的早期时期.
- 有证据支持整合综合性临床药房服务,以改善患者的治疗结果.
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