在监禁患者的护理过渡中对药物处方的观察
Bethany R Shoulders1, Kelly L Maguigan2,3, Stephen J Lemon2
1Department of Pharmacy Education and Practice, University of Florida College of Pharmacy, Gainesville, USA.
Hospital pharmacy
|January 22, 2026
概括
监禁患者的药物调整具有挑战性,导致在护理过渡期间药物清单中经常存在差异. 需要标准化流程来改善这一群体的护理连续性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 由于对电子健康记录和验证方法的访问有限,监禁人员在药物管理方面面临着独特的挑战.
- 传统的药物调和策略可能不足,可能导致在医院护理过渡期间的延迟和错误.
- 这项研究解决了在惩戒卫生保健机构中改善药物管理的需要.
研究的目的:
- 调查医院入院和出院期间监禁患者的药物清单和慢性疾病诊断中的差异的流行和性质.
- 为了确定这种弱势群体的药物管理中的具体挑战.
- 为改善护理连续性和患者安全提供证据.
主要方法:
- 对2017年1月1日至2020年12月31日期间入狱和出院的成年囚犯的药物清单和慢性疾病状态 (使用查尔森并发症指数) 的回顾性分析.
- 在两个重症监护过渡期评估药物和诊断数据:住院和出院.
- 专注于预先指定的并发症,以识别缺失或重复的药物.
主要成果:
- 在入院时有活跃处方的417名患者中,平均每名患者被记录了8种药物.
- 诊断差异很少发生 (3.9%),新情况通常在出院时被发现.
- 预先指定并发症的患者中,有55%的患者至少经历了一次药物不一致,平均每位患者审查的并发症为1.65.
结论:
- 监禁患者在医院过渡期间经历了高比例的药物差异,尽管诊断差异的比例很低.
- 医疗保健系统必须制定标准化,精简的药物调和流程,以适应监禁人员的独特需求.
- 改善机构政策对于提高护理连续性和减轻这一群体的风险至关重要.
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