药剂师干预和重症监护专业间协议的影响:使用临床,经济和组织工具进行分析
Emna Bokri1, Hekma Hajji1, Souha Chourabi1
1, PharmD, is with the Department of Pharmacy, Mongi-Ben Hamida National Institute of Neurology, Tunis, Tunisia, and the Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia.
The Canadian journal of hospital pharmacy
|January 14, 2026
概括
在重症监护室 (ICU) 的药物干预改善了患者的安全. 然而,专业人士对评估其临床,经济和组织影响的共识较低,这凸显了对标准化方法的需求.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 药物干预 (PI) 对高风险环境中的药物安全至关重要,例如重症监护室 (ICU).
- 评估PI的影响通常包括评估其临床,经济和组织效应.
研究的目的:
- 在重症监护室 (ICU) 中分析药物干预 (PI).
- 评估医疗保健专业人员对PI的临床,经济和组织影响的共识程度.
主要方法:
- 一个由临床药剂师在10个床位的ICU记录的145个PI的回顾性分析.
- 临床,经济和组织 (CLEO) 工具被用于评估干预影响.
- 采用Fleiss kappa统计数据来衡量三名医疗保健专业人员之间的评价者间的一致性.
主要成果:
- 在分析的145个PI中,21%具有重大临床影响,43%具有有利的组织影响,32%具有积极的经济影响.
- 在评估PI的专业人士中,在所有三个维度 (临床,经济,组织) 中都观察到低水平的协议.
结论:
- 药物干预对于改善ICU患者的治疗结果至关重要.
- 标准化PI评估方法对于提高一致性,减少主观性和最大限度地提高干预影响至关重要.
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