医疗保健机构的循环药物管理干预措施:系统性审查
Isabelle Meulenbroeks1, Crisostomo Mercado1, Rachel Urwin1
1Australian Institute of Health Innovation Macquarie University North Ryde New South Wales Australia.
Learning health systems
|July 18, 2025
概括
循环药物管理干预措施显示成功的证据很弱. 需要进一步的研究,以提高这些干预措施的实施和报告质量,以提高患者安全.
科学领域:
- 改善医疗保健 改善医疗保健
- 药物安全 药物安全
- 系统审查是系统的审查.
背景情况:
- 可预防的与药物相关的伤害影响了30分之一的患者.
- 循环医学改进干预措施显示出改善健康结果的潜力.
- 本综述综合了循环药物管理干预措施的证据.
研究的目的:
- 审查循环药物管理干预措施的特点.
- 评估循环药物管理干预措施的结果.
- 发现研究和实施方面的差距.
主要方法:
- 在五个数据库 (2000-2023) 中进行系统搜索.
- 两步选 (标题/摘要,全文).
- 数据提取和主题分类;使用MMAT进行质量评估.
主要成果:
- 包括来自46个出版物的45项干预措施,主要是在医院 (80%).
- 通常使用的计划-做-学习-行动框架 (64%) 包含实践标准化,临床医生反和教育等组件.
- 干预措施的目标是实施 (77),服务 (41),患者的结果 (4);许多出版物质量差 (平均60%的MMAT得分).
结论:
- 缺乏证据支持成功实施和改善卫生系统/服务成果.
- 需要进一步进行大量的研究和卫生系统结构化.
- 在实施和报告中解决质量问题至关重要.
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