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住院医师对电子药物信息资源的选择

Medical resident choices of electronic drug information resources.

作者信息

Hughes Gregory J, Patel Priti, Mason Christopher

机构信息

Department of Clinical Pharmacy Practice, St John's University College of Pharmacy and Health Sciences, Queens, NY 11375, USA.

Department of Clinical Pharmacy Practice, St John's University College of Pharmacy and Health Sciences, Queens, NY 11375, USA

出版信息

J Pharm Pract. 2015 Jun;28(3):280-3. doi: 10.1177/0897190014544820. Epub 2014 Aug 17.

Abstract

OBJECTIVE

To determine medical residents' day-to-day use of drug information resources since their choices of these resources, when faced with common questions, are unknown.

METHODS

An online survey including simulated drug information questions was administered to 146 medical residents in the Department of General Internal Medicine during July 2012. Residents were given a wide range of choices in drug information resources to answer these questions and were instructed to select what they would choose in actual practice. A score was assigned to each resource corresponding to a "best," "intermediate," or "not good" choice.

RESULTS

Seventy-three respondents completed the survey and results were analyzed for statistical significance. Fifty-seven percent of respondents reported receiving no formal training regarding drug information. Statistical analyses revealed there were no significant differences in performance based on postgraduate year (P = .43) or extent of prior training (P = .45). Individual question responses revealed a generally infrequent selection of "best" choices. Less than 10% of the respondents chose the "best" answer for drug information questions related to drug interactions, herbal supplements, adverse events, and medication identification.

CONCLUSION

Further training in drug information resource selection is warranted in the medical residency program to increase the frequency of use of higher quality resources.

摘要

目的

鉴于医学住院医师在面对常见问题时对药物信息资源的选择尚不明确,本研究旨在确定他们日常对这些资源的使用情况。

方法

2012年7月,对内科普通病房的146名医学住院医师进行了一项包含模拟药物信息问题的在线调查。为住院医师提供了广泛的药物信息资源选择来回答这些问题,并指导他们选择在实际工作中会选用的资源。为每种资源赋予一个对应“最佳”“中等”或“不佳”选择的分数。

结果

73名受访者完成了调查,并对结果进行了统计学显著性分析。57%的受访者表示未接受过关于药物信息的正规培训。统计分析显示,根据研究生年级(P = 0.43)或先前培训程度(P = 0.45),表现无显著差异。对单个问题的回答显示,“最佳”选择的总体选择频率较低。对于与药物相互作用、草药补充剂、不良事件和药物识别相关的药物信息问题,不到10%的受访者选择了“最佳”答案。

结论

医学住院医师培训项目有必要进一步开展药物信息资源选择方面的培训,以提高使用高质量资源的频率。

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