使用RE-AIM框架在医院中实施和可持续性研究患者自己的药物管理政策
Camille Hoornaert1, Larissa Zubryckyj2, Christophe Lelubre3
1Pharmacotherapy and Pharmaceutics, Université Libre de Bruxelles Faculté de Pharmacie, Bruxelles, Belgium camille.hoornaert@ulb.be.
BMJ open quality
|May 19, 2025
概括
实施患者药物管理政策显著减少了医院中与药物有关的问题. 然而,长期保持这些好处证明是具有挑战性的.
科学领域:
- 医院 医院药房 医院药房
- 患者安全 患者安全
- 医疗保健政策 医疗保健政策
背景情况:
- 在医院中管理患者自己的药物 (POM) 存在挑战.
- 需要制定明确的政策,以确保安全有效的药物管理.
研究的目的:
- 制定和评估一个政策,管理患者自己的药物 (POM) 在大学院的第三级医院.
- 评估政策对与毒品有关的问题的影响.
主要方法:
- 使用RE-AIM模型进行混合方法评估.
- 实施前后对DRP (原因和严重程度) 的分析.
- 提供者采访以确定障碍物和促进者.
主要成果:
- 实施了一项政策,大约60%的患者带来了他们的POM.
- 在实施后1周和3个月后,观察到DRP速率和严重性的显著降低.
- 长期 (1年) 减少DRP没有统计学意义.
结论:
- 一个POM管理政策可以减少DRPs,特别是当员工接受培训和政策得到良好的沟通时.
- 维持医院POM管理政策的有效性存在重大挑战.
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