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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
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.
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.
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