对减少输卵管相关药物错误的干预措施进行全面审查
Bridget S Stefanski1,2, Roschelle A Heuberger1,2
1Bridget Stefanski, PharmD, is at Nutrition and Dietetics, Central Michigan University, Mt Pleasant, Michigan.
概括
食管中的药物错误是很常见的. 药剂师参与和教育等干预措施在减少这些错误方面显示出混合的结果,但需要更多的研究.
科学领域:
- 药房 药房 药房 药房
- 患者安全 患者安全
- 临床实践 临床实践
背景情况:
- 肠道营养和输卵管药物治疗期间的药物错误带来了重大风险,包括副作用和降低药物的疗效.
- 尽管有现有的最佳实践指南,但这些错误仍然是一个持续的临床挑战.
研究的目的:
- 进行旨在减少与食管相关的药物错误的干预措施的范围审查.
- 识别和分类在临床实践中实施的各种策略,以改善药物制备和药物管理.
主要方法:
- 一个系统的搜索和审查十三项试验,调查干预措施,以减少输卵管药物错误.
- 识别和综合八个不同的干预类别,包括药剂师主导的倡议,程序变化和技术支持系统.
主要成果:
- 干预结果各不相同,错误减少率不尽相同 (30.8%-85.2%),建议的接受率不一致.
- 药剂师干预和教育显示出改善知识,实践和减少药物错误的潜力,尽管一项研究指出管道阻塞增加.
- 方法上的限制是常见的,包括小样本大小,缺乏盲目或对照,以及干预后立即进行测量.
结论:
- 一些干预措施有望缓解输卵管药物错误,特别是涉及药剂师和加强教育的干预措施.
- 结果的异质性和研究的局限性凸显了严格,精心设计的研究的关键需求,以建立最终的最佳实践.
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