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相关概念视频

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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Improving IV Insulin Administration in a Community Hospital
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社区药房的自我治疗错误

Anna Häyrinen1, Niina Alastalo1, Anna-Riia Holmström2

  • 1School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1, 70210, Kuopio, Finland.

Research in social & administrative pharmacy : RSAP
|February 26, 2026
PubMed
概括

安全的自我治疗依赖于正确的药物使用. 这项研究发现了药房的自我治疗错误,发现高风险的非处方药和不充分的咨询是关键问题,而专业建议保护了患者.

关键词:
高风险药物 高风险药物事件报告系统事件报告系统药物治疗咨询 药物治疗咨询药物错误是因为药物错误.药物的安全性 药物的安全性没有处方药的药物

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科学领域:

  • 药房实践和药物安全研究.
  • 公共卫生和患者安全.
  • 无处方药 (OTC) 药物的药监工作.

背景情况:

  • 安全的自我治疗包括正确的指示和暂时的使用.
  • 识别风险和保护因素对于预防药物错误至关重要.
  • 提高自我治疗的安全性可以改善患者的治疗结果.

研究的目的:

  • 为了识别社区药房内的自我治疗错误.
  • 为了分类与这些错误相关的风险和保护因素.
  • 专注于高风险的非处方 (OTC) 药物.

主要方法:

  • 基于全国注册的回顾性全国性研究.
  • 在芬兰国家事件报告系统中报告的自我治疗错误的分析.
  • 对风险和保护因素的定性内容分析,将错误分类为与客户或专业相关的.

主要成果:

  • 发现了316个自我治疗错误;与客户相关的错误 (n=219) 较为常见,往往接近失误.
  • 59%的错误涉及国家高风险OTC药物;与专业相关的错误 (n=97) 主要是实际错误 (91%),其中37%涉及外观相似,声音相似 (LASA) 药物.
  • 高风险的OTC药物,禁忌和误解是与客户相关的风险;药物咨询是主要的保护因素. 药物LASA和不充分的需求评估是职业相关的风险.

结论:

  • 国家高风险OTC药物在客户自行选择时构成重大风险.
  • 药剂师的药物咨询,包括需要评估和禁忌检查,是防止自我治疗错误的最有效的保护因素.
  • 解决与LASA药物相关的客户误解和专业实践对于提高自我治疗安全至关重要.