与药剂师干预或不干预的药物相关事件的急诊室访问:URGEIM随机临床试验
Maxime Villiet1, Marion Laureau1,2, Damien Perier2
1Clinical Pharmacy Department, CHU Montpellier, University of Montpellier, Montpellier, France.
一个由药剂师领导的过渡期护理计划显著减少了因药物相关事件 (MRE) 的急诊室访问和住院. 这种干预提供了一种新的策略,用于减轻患者与药物相关的伤害.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与药物相关的事件 (MRE) 是急诊室 (ED) 访问和患者伤害的重要原因.
- 需要有效的干预措施来减少MRE对医疗保健系统的负担.
研究的目的:
- 评估药剂师领导的过渡期护理计划在减少对MRE的ED访问方面的有效性.
- 在6个月的随访期内,将干预组与通常的护理进行比较.
主要方法:
- 一个前性的,开放的,随机的临床试验,涉及成年患者在ED入院时检测到的MREs.
- 参与者被随机分配到药剂师领导的过渡期护理计划或常规护理.
- 干预措施包括与全科医生和社区药剂师进行解诊后的沟通.
主要成果:
- 药剂师主导的干预措施在6个月后显著减少了同一MRE的ED访问 (3.0%对22.1%).
- 该干预措施还减少了与同一MRE相关的住院治疗 (1.8%vs17.8%) 和所有原因的ED访问 (21.0%vs35.0%).
- 干预组中观察到,全科医生和专家办公室的访问增加.
结论:
- 一个由药剂师领导的过渡期护理计划有效地减少了ED访问和住院治疗与药物有关的事件.
- 这种干预代表了一种有希望的方法,以尽量减少与药物相关的伤害,并改善患者的治疗结果.
- 建议进行进一步的试验,以验证这些发现,并探索更广泛的实施.
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