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社区药房的药物错误:对国际文献的系统审查
Maguy Saffouh El Hajj1, Rayah Asiri2,3, Andy Husband2,4
1Clinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.
PloS one
|May 20, 2025
概括
社区药房的药物错误是一个重大的公共卫生问题. 本次审查强调需要标准化报告和进一步研究错误类型和严重程度,以提高全球患者安全.
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物安全是一个关键的公共卫生问题,医学研究所1999年的报告强调了这一点.
- 虽然医院药物错误系统已经建立,但关于社区药房的证据有限.
- 与药物错误相关的可预防伤害和医疗保健费用需要进一步调查.
研究的目的:
- 系统地审查和批判性地评估社区药房中药物错误的国际证据.
- 综合这些错误的流行,性质和严重程度的数据.
- 在社区药房设置中发现药物安全方面的研究缺口.
主要方法:
- 1995年1月至2023年12月期间发表的文献的系统综述.
- 包括来自各种数据库,书目和灰色文献的研究.
- 按地理区域对数据进行叙述和描述的综合,包括数据提取和质量评估.
主要成果:
- 从56898项已识别的研究中,包括了73项研究,其中大多数研究来自欧洲,中亚和北美.
- 处方和发行错误是最常被研究的,错误率和类型在区域上有显著差异.
- 很少有研究评估错误严重程度,常见的偏见包括选择和识别偏见.
结论:
- 需要评估服务不足地区的药物安全性,并建立标准化的全球报告框架.
- 调查药物错误的类型和严重程度对于提高患者安全至关重要.
- 进一步的定量和定性研究对于制定政策和实施社区药房有效的安全策略至关重要.
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