开发和评估以患者为中心的方法,用于准确的药物捕获
Larry Ma1,2, Alan V Rincon1, Joshua Ide1
1Medical & Safety Sciences, Kenvue Brands LLC (formerly known as Johnson & Johnson Consumer Inc.), Fort Washington, PA 19034, United States.
JAMIA open
|October 20, 2025
概括
在个人健康记录应用程序中的以患者为中心的药物模块准确地记录了药物使用情况. 患者生成的数据可以提高药物史的准确性和协调性.
科学领域:
- 医疗信息学 医疗信息学
- 患者报告的结果
- 药物管理 药物管理
背景情况:
- 准确的药物记录对于安全有效的患者护理至关重要.
- 电子健康记录 (EHR) 通常具有不完整的药物数据,需要改进的协调方法.
- 个人健康记录 (PHR) 应用程序为患者参与健康数据管理提供了一个平台.
研究的目的:
- 在PHR应用程序中开发和评估以患者为中心的药物模块.
- 评估药物模块的准确性,可用性和一致性,以捕获药物使用情况.
- 探索患者生成的健康数据在改善药物历史中的作用.
主要方法:
- 这项研究涉及85名来自综合交付网络的患者,他们使用PHR应用程序与药物模块一起使用.
- 提供了四种药物输入方法:picklist,国家药物规范 (NDC),自由文本和门户导入,使用RxNorm和openFDA API.
- 药剂准确性由药剂师验证,可用性使用系统可用性量表 (SUS) 进行评估,并与EHR数据对一致性进行测量.
主要成果:
- 在14天内,85名患者输入了617种药物,整体输入准确度高 (92%).
- 选择列表方法是最常用的,表现出高精度 (97%).
- 药物模块的可用性得分是有利的 (80.8对于药剂师),尽管EHR与患者日记条目的一致性很低 (25-53%),特别是对于非处方药.
结论:
- 以患者为中心的药物模块有效地支持准确捕获处方药和非处方药.
- 在EHR数据中发现的漏洞强调了需要加强药物记录准确性和协调流程的需要.
- 患者生成的健康数据对实现世界卫生组织的"最佳可能药物历史"目标具有重大潜力.
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