PharmVisit:通过急性老年病房护理的跨专业病房循环过程来减少与药物有关的问题 - - 一个质量改善项目
Petromila Stoyanova1, Aljoscha N Goetschi2,3, Schönenberger Nicole2,3
1Department of Geriatrics, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.
Swiss medical weekly
|October 14, 2025
概括
临床药剂师在医院病房巡视中改善了老年人的药物安全性. 该PharmVisit项目显示,推的接受率为54%,减少了可能不合适的药物.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 住院的老年人往往是多种疾病和多种药物,增加了对药物相关问题的易感性.
- 伯尔尼大学医院老年病学系发起了PharmVisit项目,通过跨专业的合作来提高药物安全性.
研究的目的:
- 描述临床药剂师在专业间病房巡视期间推的干预措施.
- 确定医生对这些建议的接受率.
主要方法:
- 临床药剂师和老年医生为每周的病房巡视做好了准备.
- 药剂师使用检查清单和GSASA分类工具进行药物评价.
- 临床医生,药剂师和护士讨论了建议,随后进行了病人的床边讨论.
主要成果:
- 在46个病房中,为221名患者推了480次干预.
- 推的主要原因包括剂量问题 (17%),遗漏 (15%) 和没有明显的迹象 (13%).
- 对PharmVisit建议的整体接受率为54%,其中33%的建议被转交给进一步决定.
结论:
- 将临床药剂师纳入病房巡视,促进了关于药物治疗的批判性辩论.
- 该PharmVisit项目展示了一种有意义的方法来减少老年人潜在不合适的药物.
- 处方停止的高接受率凸显了药剂师干预的价值.
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