通过实践反来优化肌素清除,降低功能和处方安全:混合方法研究
Su I Wood1, Robbie Foy1, Paul Carder2
1Division of Primary Care, Palliative Care and Public Health, Leeds Institute of Health Sciences, University of Leeds, Leeds LS2 9LN, United Kingdom.
Family practice
|September 5, 2025
概括
在老年人中,性能反改善了肌素清除率 (CrCl) 的计算和编码,但需要进一步的系统支持来减少功能下降的药物错误.
科学领域:
- 老年医学
- 临床药房
- 医疗服务研究
背景情况:
- 随着年龄的增长,功能自然下降,因药物水平较高而增加药物不良事件的风险.
- 在肌素清除率 (CrCl) 降低的老年患者中,不适当的处方是常见的.
研究的目的:
- 评估性能反干预措施的可行性和可接受性.
- 增强CrCl计算和编码实践.
- 减少可能不合适的处方在老年人.
主要方法:
- 一项混合方法研究,涉及基于证据的CrCl编码和处方反在七个英国的一般实践中.
- 在三个时间点收集数据,进行干预前/后评估.
- 机构民族学包括观察和与初级保健医生的半结构面试.
主要成果:
- 75岁及以上患者的平均CrCl编码从46%增加到50. 4%.
- 观察到与CrCl相关的不适当处方患者数量有所减少.
- 临床医生发现反具有吸引力和灵活性,尽管在CrCl计算和药物召回方面存在挑战.
结论:
- 绩效反可以促进对功能下降的处方,但需要额外的支持.
- 通过更好的决策支持来提高患者的安全性,系统化CrCl计算和编码至关重要.
- 大规模的有效性评估被认为是可行的和可接受的.
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