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药剂师在预防用药错误中的作用和服务:系统评价。

Role and Services of a Pharmacist in the Prevention of Medication Errors: A Systematic Review.

机构信息

Department of Pharmacy Practice, College of Pharmacy Gulf Medical University, Ajman, United Arab Emirates.

出版信息

Curr Drug Saf. 2021;16(3):322-328. doi: 10.2174/1574886315666201002124713.


DOI:10.2174/1574886315666201002124713
PMID:33006539
Abstract

OBJECTIVE: This systematic review aims to investigate the role and responsibilities of pharmacists in the prevention of medication errors. The study also aims to evaluate pharmacist-centered strategies that have an impact on medication error reduction and prevention. METHODS: A search was conducted through the following databases PubMed Central, Scopus, Trip, Prospero, Medline and Google Scholar using terms related to "medication errors prevention" or "pharmacist-related errors". Other search terms included "pharmacist(s)", "prevention", "medication error(s)", "dispensing error(s)", "drug incidence(s)", "medication malpractice(s)". Included studies were prospective and retrospective cohort, case-control and cross-sectional full-text studies published in the last 10 years (2010-2020). The review team screened the articles for inclusion criteria and evaluated the quality of the articles. The PRISMA guidelines were used to report the selected articles and screening process. Then, the articles were sent to a third independent reviewer for the quality assessment using the STROBE Checklist. RESULTS: A clinical pharmacist's duties are to supervise the medication treatment of admitted patients and to notify the healthcare team when a discrepancy is found. A total of seven reviewed studies highlighted the importance and positive impact of increasing the number of clinical pharmacist's interventions. Literature showed that an average of 64.9% of medication discrepancies happen during patient discharge, highlighting the necessity of a clinical pharmacist intervention at that stage. The systematic review focused on the significant impact of clinical pharmacists' role in preventing errors (studies reported=5); encouraging pharmacist-led education to increase medication error awareness (studies reported =5), incorporating better and innovative pharmacy-related work approaches (studies reported =4); and implementing appropriate and secured policies for medication error reporting (studies reported =1). The screened literature highlighted the significant reduction in the number of medication errors and an increase in medication error identification and awareness. These findings suggest the crucial role of a pharmacist in healthcare policies for the prevention of medication errors and patient safety. CONCLUSION: This systematic review suggests multiple pharmacist-centered strategies that have been implemented in several studies showing the positive impact on the reduction and prevention of medication errors commenced by not only the pharmacist but the rest of the healthcare team.

摘要

目的:本系统评价旨在研究药师在预防用药错误中的作用和责任。本研究还旨在评估以药师为中心的策略对减少和预防用药错误的影响。

方法:通过以下数据库进行搜索:PubMed Central、Scopus、Trip、Prospero、Medline 和 Google Scholar,使用与“用药错误预防”或“与药师相关的错误”相关的术语。其他搜索词包括“药师”、“预防”、“用药错误”、“配药错误”、“药物不良事件”、“用药不当”。纳入的研究为前瞻性和回顾性队列、病例对照和横断面全文研究,发表时间在过去 10 年(2010-2020 年)内。审查小组根据纳入标准筛选文章,并评估文章的质量。使用 PRISMA 指南报告选定的文章和筛选过程。然后,将文章发送给第三位独立审查员,使用 STROBE 清单进行质量评估。

结果:临床药师的职责是监督住院患者的药物治疗,并在发现差异时通知医疗团队。共有七项综述研究强调了增加临床药师干预数量的重要性和积极影响。文献表明,平均有 64.9%的用药差异发生在患者出院时,这突出了临床药师在该阶段进行干预的必要性。系统评价重点关注临床药师在预防错误中的作用的显著影响(报道的研究=5);鼓励以药师为主导的教育以提高对用药错误的认识(报道的研究=5),纳入更好和创新的与药学相关的工作方法(报道的研究=4);以及实施适当和安全的用药错误报告政策(报道的研究=1)。筛选文献强调了用药错误数量的显著减少以及用药错误识别和认识的提高。这些发现表明,药师在医疗保健政策中对于预防用药错误和患者安全起着至关重要的作用。

结论:本系统评价提出了多种以药师为中心的策略,这些策略已在多项研究中实施,表明不仅药师,而且整个医疗团队实施的策略对减少和预防用药错误产生了积极影响。

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