拼分散的护理:一个药房驱动的护理转换服务的评估
Hannah Marie Ferrari1, Nancy MacDonald2, Brandon Bott3
1Wayne State University, Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI, and Henry Ford Hospital, Detroit, MI, USA.
概括
支持转换护理 (TOC) 计划的药房技术人员有效地识别住院患者的药物错误和坚持障碍. 这种干预措施通过在出院前解决问题来改善药物安全性和患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 患者安全 患者安全
背景情况:
- 护理的分散导致多药和不良事件.
- 协调护理改善了患者的治疗结果,并降低了成本.
- 转换护理 (TOC) 计划旨在减轻分散性.
研究的目的:
- 评估药房技术人员在TOC计划中的运营和临床影响.
- 评估技术人员支持的护理协调的有效性.
主要方法:
- 亨利·福特医院成年患者的回顾性横截面研究.
- 药房技术人员将TOC笔记放在电子医疗记录中.
- 主要结局:药物病史变化,不服药,以及接入障碍.
主要成果:
- 包括2,426名患者;81.7%的人有药物错误.
- 607名患者出现了涉及高警报药物的错误.
- 发现了45.6%的不加入和12.7%的进入障碍.
结论:
- 药房驱动的TOC计划在入院后发现了许多药物错误.
- 该计划通过处方捕获和转介来解决坚持障碍.
- 干预措施旨在提高药物安全性和护理连续性.
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