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如何预防或减少处方错误:政策证据简报

How to Prevent or Reduce Prescribing Errors: An Evidence Brief for Policy.

作者信息

de Araújo Bruna Carolina, de Melo Roberta Crevelário, de Bortoli Maritsa Carla, Bonfim José Ruben de Alcântara, Toma Tereza Setsuko

机构信息

Department of Health, Institute of Health, Government of the State of São Paulo, São Paulo, Brazil.

出版信息

Front Pharmacol. 2019 Jun 12;10:439. doi: 10.3389/fphar.2019.00439. eCollection 2019.

DOI:10.3389/fphar.2019.00439
PMID:31263409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6584796/
Abstract
  • Preventing prescribing errors is critical to improving patient safety.- We developed an evidence brief for policy to identify effective interventions to avoid or reduce prescribing errors.- Four options were raised: promoting educational actions on prudent prescribing directed to prescribers; incorporating computerized alert systems into clinical practice; implementing the use of tools for guiding medication prescribing; and, encouraging patient care by a multidisciplinary team, with the participation of a pharmacist.- These options can be incorporated into health systems either alone or together, and for that, it is necessary that the context be considered.- Aiming to inform decision makers, we included considerations on the implementation of these options regarding upper-middle income countries, like the Brazilian, and we also present considerations regarding equity.
摘要
  • 预防处方错误对于提高患者安全至关重要。

  • 我们制定了一份政策证据摘要,以确定避免或减少处方错误的有效干预措施。

  • 提出了四种选择:促进针对开处方者的谨慎处方教育行动;将计算机化警报系统纳入临床实践;实施药物处方指导工具的使用;以及鼓励多学科团队在药剂师参与下提供患者护理。

  • 这些选择可以单独或一起纳入卫生系统,为此,有必要考虑具体情况。

  • 为了向决策者提供信息,我们纳入了关于在巴西等中高收入国家实施这些选择的考虑因素,并且我们还提出了关于公平性的考虑因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce3/6584796/1466014ab3bc/fphar-10-00439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce3/6584796/1466014ab3bc/fphar-10-00439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce3/6584796/1466014ab3bc/fphar-10-00439-g0001.jpg

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Int J Clin Pract. 2017 Jul;71(7). doi: 10.1111/ijcp.12960. Epub 2017 May 23.
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Medication Without Harm: WHO's Third Global Patient Safety Challenge.无害用药:世界卫生组织的第三次全球患者安全挑战
Lancet. 2017 Apr 29;389(10080):1680-1681. doi: 10.1016/S0140-6736(17)31047-4.
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Interventions to improve antibiotic prescribing practices for hospital inpatients.
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Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review.门诊和流动环境中药物错误的流行率、促成因素和干预措施:系统评价。
Int J Clin Pharm. 2023 Dec;45(6):1359-1377. doi: 10.1007/s11096-023-01626-5. Epub 2023 Sep 8.
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