药物处方检查清单及其对患者安全的影响:范围审查
Yilei Liu1, Tate W Miner2, Kawtar Zouaidi3
1Division of General Internal Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA.
药物处方检查清单可以提高患者的安全性. 虽然有效,可用性和工作流集成是关键障碍,非随机试验显示出比RCT更高的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 改善临床实践的改善
背景情况:
- 药物处方错误对患者安全构成重大威胁.
- 检查清单在药物处方中的作用和有效性尚未得到充分证实.
研究的目的:
- 确定药物处方检查清单的关键元素.
- 评估这些检查清单对患者安全结果的影响.
主要方法:
- 对PubMed和Embase数据库进行范围审查.
- 分析了53项研究,包括RCT,准实验和观察设计.
- 费舍尔精确测试用于评估有效性,研究设计和干预类型之间的关联.
主要成果:
- 检查清单通常包括处方准确性,药物相互作用检查,教育和准则遵守.
- 在评估有效性的研究中,86.2%的人认为检查清单有益.
- 非RCT设计更有可能证明检查清单的有效性 (p=0.004).
结论:
- 药物处方清单是提高患者安全的有效工具.
- 可用性和工作流集成是影响清单有效性的关键因素.
- 需要进一步的研究来优化检查清单的设计和实施.
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