药学学生对抑酸治疗不当处方的影响。
Pharmacy student impact on inappropriate prescribing of acid suppressive therapy.
机构信息
Massachusetts College of Pharmacy and Health Sciences, Worcester, MA 01608, USA.
出版信息
Am J Pharm Educ. 2011 Nov 10;75(9):175. doi: 10.5688/ajpe759175.
OBJECTIVE
To examine the impact that having pharmacy students on internal medicine patient care teams had on inappropriate prescribing of acid suppressive therapy (AST).
METHODS
In this observational cohort study, internal medicine patients who received care from teams with a pharmacy student were compared to patients who received care from teams without a pharmacy student. The primary endpoint was proportion of patients on inappropriate AST.
RESULTS
The overall proportion of patients receiving inappropriate AST was 24.4%. There was no significant difference between patients seen by teams with a pharmacy student and those seen by teams without a pharmacy student. The proportion of patients discharged with new inappropriate AST prescriptions was lower after pharmacy student review, though not significantly (6.1% vs. 9.4%, p = 0.07). Pharmacy student reviews shortened the median duration of inappropriate AST by 1.5 days (6 vs. 8.5 days, p = 0.025).
CONCLUSIONS
Patient care teams on which pharmacy students performed medication reviews had a reduced duration of inappropriate use of AST in patients.
目的
考察在内科患者治疗团队中配备药学专业学生对酸抑制治疗（AST）不适当开具处方的影响。
方法
在这项观察性队列研究中，接受有药学专业学生治疗团队治疗的内科患者与接受无药学专业学生治疗团队治疗的患者进行了比较。主要终点是接受不适当 AST 治疗的患者比例。
结果
接受不适当 AST 治疗的患者总体比例为 24.4%。有药学专业学生的治疗团队与没有药学专业学生的治疗团队之间的患者比例没有显著差异。经药学专业学生审查后，出院时开具新的不适当 AST 处方的患者比例虽有所下降，但无统计学意义（6.1%比 9.4%，p=0.07）。药学专业学生审查将不适当 AST 的中位持续时间缩短了 1.5 天（6 天比 8.5 天，p=0.025）。
结论
接受药学专业学生进行药物审查的患者治疗团队中，AST 不适当使用的持续时间减少。
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