Díaz Gómez E, Lázaro López A, Horta Hernández A
Farm Hosp. 2013 Jul-Aug;37(4):295-9. doi: 10.7399/FH.2013.37.4.588.
To analize the pharmaceutical interventions made in outpatients pharmacy department of a secondary hospital.
Retrospective and observational study of pharmaceutical interventions made from October 1st 2010 to December 31st 2011. RECORDED DATA: Number of patients, age at the end of the study, diagnostic, prescribing departments, drug-related problems (DRP), negative outcomes associated with medication (NOM), type of pharmaceutical interventions.
231 DRP were found and a pharmaceutical intervention was performed for each DRP in 184 different patients. The main DRPs detected were: drugs interactions (26%), prescription mistakes (15, 6%) and non-compliance (15, 6%). Only 26 (11,2%) DRP caused a NOM. Most interventions were: recommendating treatment changes (35,6%), promoting the monitorization of the effectiveness of treatment (34,6%) and increasing adherence (15,6%).
The pharmacist activity allows individualized monitoring and is crucial to avoid NOM.
分析一家二级医院门诊药房的药学干预情况。
对2010年10月1日至2011年12月31日期间进行的药学干预进行回顾性观察研究。记录数据:患者数量、研究结束时的年龄、诊断、处方科室、药物相关问题(DRP)、与药物相关的负面结果(NOM)、药学干预类型。
共发现231个药物相关问题,并对184名不同患者的每个药物相关问题进行了药学干预。检测到的主要药物相关问题有:药物相互作用(26%)、处方错误(15.6%)和用药依从性差(15.6%)。只有26个(11.2%)药物相关问题导致了负面结果。大多数干预措施包括:建议更改治疗方案(35.6%)、促进治疗效果监测(34.6%)和提高依从性(15.6%)。
药师的工作能够进行个体化监测,对于避免负面结果至关重要。