长期护理机构安全有效使用药物的质量指标:系统性审查
Daria S Gutteridge1, Annabel H Calder1, Jacquelina Stasinopoulos1
1University of South Australia, UniSA Allied Health and Human Performance, Adelaide, SA, Australia.
质量指标 (QI) 有助于监测老年护理中的药物安全性. 这次审查确定了53个QI集,主要是基于过程的,以指导老年人药物使用的改进.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在老年护理机构的老年人面临着多病症和多药的风险.
- 与药物相关的危害是长期护理机构的一个重大问题.
- 质量指标 (QI) 对于监测和改善药物安全至关重要.
研究的目的:
- 系统地识别和总结QI,以确保在老年护理中安全有效地使用药物.
- 为临床医生,提供者和决策者提供现有的QA概述.
主要方法:
- 对文献数据库和灰色文献进行系统审查.
- 包括英语出版物关于QI开发,应用或在老年护理中的验证.
- 使用经过验证的系统和主题分组,提取和分类QI信息.
主要成果:
- 确定了53个QI集,包括442个个体QI和18个可能不合适的药物清单.
- 主要处理指标 (80%),药物特定的QA (26%) 专注于使用和剂量.
- 有限的QA (7%) 针对以人为中心的措施,如居民参与决策.
结论:
- 介绍了当代QI关于老年护理中药物安全性的全面概述.
- 调查结果可以为选择和实施QI提供信息,以加强药物管理.
- 该资源支持长期护理机构的监测和驱动护理改进.
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