患者参与监测潜在不良药物事件的患者参与
Kerstin Jorsäter Blomgren1, Johan Fastbom2
1School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Applied clinical informatics
|November 14, 2025
概括
使用以患者为中心的临床决策支持系统 (PCDSS) 的患者参与医疗保健有助于早期发现不良药物事件 (ADEs). 这项技术通过及时干预和治疗调整,促进了老年人更安全的药物管理.
科学领域:
- 老年医学 老年医学
- 医疗信息学 医疗信息学
- 药物监督 药物监督 药物监督
背景情况:
- 临床决策支持系统 (CDSS) 在预防与药物有关的问题方面表现有前途.
- 对自我报告症状的患者参与系统在研究中代表性不足.
- 药物不良事件 (ADEs) 构成重大风险,特别是在老年人中.
研究的目的:
- 评估以患者为中心的CDSS (PCDSS) 是否改善了老年人早期ADE检测.
- 评估PCDSS对药物安全性和治疗结果的影响.
- 探索患者参与监测他们自己的药物治疗.
主要方法:
- 一年期前性观察性研究,涉及使用基于网络的PCDSS的老年患者.
- 患者通过自由文本和预定义选项自我报告症状.
- 在PCDSS产生的持续症状警报,促使医疗保健联系.
主要成果:
- 48名参与者记录了1,275个症状;产生了171个PCDSS信号.
- 44%的信号导致医疗中心的活动,包括与医生联系.
- 这些相互作用导致了对相当一部分参与者的药物审查和调整.
结论:
- 通过PCDSS进行患者自我报告可以提高药物安全性.
- PCDSS有助于早期识别潜在的不良药物事件.
- 将患者报告的数据集成到临床支持系统中,可以改善老年人药物监测.
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