识别可预防和不可预防的处方回调,以澄清学术医疗中心急诊室从2015年到2024年的情况
David Elias-Campa1, Christopher J Edwards2, Farshad M Shirzai3
1Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona, Tucson, Arizona.
大多数处方清晰度从药房是可以预防的,通常是由于不清楚的药物指示或剂量. 解决这些问题可以改善患者护理,减少医疗保健系统的压力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物安全 药物安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 来自药房的处方澄清请求可能会延迟患者的护理,并导致药物不服药.
- 这些延误导致急诊室 (ED) 访问增加,并压迫医疗保健资源.
研究的目的:
- 从药房向ED提供商提出的处方澄清请求背后的原因进行分类和量化.
- 为了确定处方澄清的潜在可预防的原因.
主要方法:
- 质量改进数据库的回顾性分析,其中包含了处方澄清请求.
- 数据来自于学术ED的ED单位工作人员填写的处方澄清表格.
- 用于分类和呈现澄清类型的描述性统计数据.
主要成果:
- 总共分析了2714个澄清.
- 63.4%的澄清被归类为可能可以预防的.
- 最常见的可预防性澄清是使用说明 (33.1%),其次是药物 (12.3%) 和剂量 (11.5%).
- 不能预防的澄清主要是由于保险问题 (14.6%) 和药物可用性 (14.0%).
结论:
- 可能可以预防的药物澄清占了大部分电话.
- 关于使用说明,药物细节和剂量的澄清是最常见的可预防的问题.
- 解决这些可预防的澄清可以提高患者护理,并优化医疗保健系统的效率.
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