评价用于识别引发药剂师干预的住院时间的得分:将其集成到临床决策支持系统中
Laurine Robert1, Nathalie Vidoni2, Erwin Gérard3
1CHU Lille, Institut de Pharmacie, Lille F-59000, France.
JAMIA open
|May 7, 2025
概括
患者风险得分值为4可以帮助确定在药物审查后可能需要药剂师干预 (PI) 的住院时间. 这种工具有助于药剂师优化药物审查并检测有风险的处方.
科学领域:
- 临床药房 临床药房
- 医疗信息学 医疗信息学
- 药物经济学 药物经济学
背景情况:
- 药物审查对于患者安全至关重要.
- 临床决策支持系统 (CDSS) 可以帮助药剂师.
- 识别高风险住院情况可以优化药剂师的干预.
研究的目的:
- 确定最佳的患者风险得分值,以确定需要药剂师干预 (PI) 的住院时间.
- 评估CDSS综合风险评分在临床药房实践中的有用性.
主要方法:
- 追溯观察性研究.
- 适应加拿大患者风险评分集成到CDSS中.
- 在住院期间进行的药物审查和PI的分析.
主要成果:
- 确定了973种药物评价 (56.7%) 和248种主要药物评价 (25.5%).
- 风险得分值为4被认为是对PI的歧视.
- 这一门可以检测600次住院可能导致PI.
结论:
- 将患者风险评分整合到CDSS中可以帮助针对PI的住院时间.
- 一个最佳值有助于药剂师优化药物评价.
- 当地实施和理解局限性是最大限度地发挥该工具实用性的关键.
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