基于指示的处方和使用指示的处方,对文档的影响,药物的使用和临床结果:系统性审查
Lorna Pairman1, Paul Chin2, Matthew Doogue2
1Department of Medicine, University of Otago, 2 Riccarton Avenue, Christchurch, New Zealand.
International journal of medical informatics
|December 2, 2025
概括
电子处方干预措施改善了药物记录文档和适当的药物使用. 然而,研究异质性限制了概括性,突出了对标准化报告和国际标准的需要.
科学领域:
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
背景情况:
- 电子处方系统在医疗保健中越来越多地被使用.
- 确保适当的药物使用和准确的文档对于患者安全至关重要.
- 在电子系统中基于指示的处方的作用需要进一步研究.
研究的目的:
- 评估基于指示的处方对电子药物记录文档的影响.
- 评估处方与适用药物使用指示的影响.
- 为了确定对临床结果的影响.
主要方法:
- 在Medline,Embase,CINAHL和Scopus的系统文献搜索.
- 包括使用电子药物管理系统进行基于指示的处方的干预研究.
- 结果的叙述综合,包括指示提供,准确性,处方适当性和患者结果.
主要成果:
- 24项研究符合纳入标准,重点是抗微生物药物和血液制品.
- 在指示文档 (3项研究) 和处方适当性 (4项研究) 中观察到的改善.
- 减少过度使用抗微生物药物和血液制品 (10项研究);表示准确性定义不一致.
结论:
- 电子干预可以增强指示文档和适当的药物使用.
- 干预和系统的异质性限制了一般化的可能性.
- 为了实现一致的实践和报告,需要标准化的国际指导方针和术语.
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