在瑞士的住院长期护理机构中测量多药房质量指标的困难 - - 混合方法研究
Magdalena Osińska1, Carla Meyer-Massetti2, Naomi Welte3
1Institute of Nursing Science, Departement Public Health, Faculty of Medicine, University of Basel, Bernoullistr, 28, 4056 Basel, Switzerland.
概括
数据质量问题阻碍了在瑞士住院长期护理 (RLTC) 中准确的多药房测量. 提高数据准确性对于可靠的质量指标 (QI) 和患者安全至关重要.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 制药科学 制药科学
背景情况:
- 多药在住院长期护理 (RLTC) 中普遍存在,增加了与药物相关的风险.
- 瑞士要求RLTC机构作为国家质量指标 (QI) 报告多药性 (≥9种活性物质).
研究的目的:
- 评估用于计算瑞士RLTC设置中的多药房QI的数据质量.
- 确定影响多药房数据准确性的因素,并提出改进建议.
主要方法:
- 在德语系瑞士的14所RLTC机构进行了一项连续的解释性混合方法研究.
- 对多药房数据的评价者间可靠性评估.
- 质量探索与RLTC工作人员的差异.
主要成果:
- 在580名居民中,65.3%的机构和研究人员之间存在活性物质计数的差异.
- 报告的多药性流行率在45.5% (机构) 和47.4% (研究人员) 之间.
结论:
- 可靠的多药房QI计算需要强大的基准数据,明确的计数规则和电子算法.
- 药物评价可以帮助区分适当的多药与不适当的多药.
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