管理潜在的药物相关伤害的急诊室患者:一种定性研究
B Bullock1, R Allen2, Gary Grant2
1Pharmacy, Gold Coast Hospital and Health Service, Gold Coast, QLD, 4215, Australia.
International journal of clinical pharmacy
|November 12, 2025
概括
急诊室 (ED) 的临床医生缺乏标准化的流程来优先考虑与药物相关的伤害患者. 开发一种特定的工具对于持续的患者护理和减少伤害至关重要.
科学领域:
- 临床药房 临床药房
- 紧急医疗 紧急医疗
- 患者安全 患者安全
背景情况:
- 与药物相关的伤害是全球性的挑战,经常导致急诊室 (ED) 的访问.
- 准确的药物历史对于识别损害作为ED表现的原因至关重要.
研究的目的:
- 探索急诊室 (ED) 临床医生的观点,以优先考虑因潜在的药物相关危害而入院的患者.
主要方法:
- 与15名ED医生,药剂师和护士进行了半结构化的定性访谈.
- 采访的重点是临床医生对药物管理和在疑似药物相关危害病例中优先考虑的观点.
- 用专题分析来确定关键主题和子主题.
主要成果:
- 治疗ED的临床医生采用各种各样的和不一致的方法来识别和标记患者与潜在的药物相关的危害.
- 确定了需要一个战略性的,结构化的优先级制定过程.
- 非药剂师参与者强调ED药剂师的重要价值.
结论:
- 由于没有标准化的协议,ED临床医生依靠个人临床判断来确定患者优先级.
- 显然需要针对ED环境量身定制的工具来指导患者对药物相关危害的优先考虑.
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