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远程药学在向新型冠状病毒肺炎患者提供咨询和药物配发错误方面的作用。

Role of telepharmacy in pharmacist counselling to coronavirus disease 2019 patients and medication dispensing errors.

机构信息

Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, United Arab Emirates.

Department of Clinical Pharmacy, Faculty of Pharmacy, Cairo University, Egypt.

出版信息

J Telemed Telecare. 2023 Jan;29(1):18-27. doi: 10.1177/1357633X20964347. Epub 2020 Oct 15.

Abstract

INTRODUCTION

Remote pharmacist interventions have achieved much more attention during the coronavirus disease 2019 (COVID-19) outbreak, since they reduce the risk of transmission and can potentially increase the access of vulnerable populations, such as patients with COVID-19, to pharmaceutical care. This study aimed to examine differences in rates and types of pharmacist interventions related to COVID-19 and medication dispensing errors (MDEs) across community pharmacies with and without telepharmacy services.

METHODS

This was a prospective, disguised, observational study conducted over four months (from March 2020 to July 2020) in 52 community pharmacies (26 with and 26 without telepharmacy) across all seven states of the United Arab Emirates using proportionate random sampling. A standardised data-collection form was developed to include information about patient status, pharmacist interventions and MDEs.

RESULTS

The test (telepharmacy) group pharmacies provided pharmaceutical care to 19,974 patients, of whom 6371 (31.90%) and 1213 (6.07%) were probable and confirmed cases of COVID-19, respectively. The control group pharmacies provided care to 9151 patients, of whom 1074 (11.74%) and 33 (0.36%) were probable and confirmed cases of COVID-19, respectively. Rates of MDEs and their subcategories, prescription-related errors and pharmacist counselling errors across pharmacies with telepharmacy versus those without remote services were 15.81% versus 19.43% ( < 0.05), 5.38% versus 10.08% ( < 0.05) and 10.42% versus 9.35% ( > 0.05), respectively.

DISCUSSION

This is one of the first studies to provide high-quality evidence of the impact of telepharmacy on COVID-19 patients' access to pharmaceutical care and on medication dispensing safety.

摘要

介绍

在 2019 年冠状病毒病(COVID-19)疫情期间,远程药剂师干预措施得到了更多关注,因为它们降低了传播风险,并有可能增加脆弱人群(如 COVID-19 患者)获得药物治疗的机会。本研究旨在检查有和没有远程药学服务的社区药房中与 COVID-19 和药物配发错误(MDE)相关的药剂师干预措施的发生率和类型的差异。

方法

这是一项前瞻性、伪装、观察性研究,在阿拉伯联合酋长国七个州的 52 家社区药房(26 家有远程药学服务,26 家没有)中进行,时间为四个月(2020 年 3 月至 2020 年 7 月),使用比例随机抽样。开发了一个标准化的数据收集表,其中包括有关患者状况、药剂师干预措施和 MDE 的信息。

结果

实验组(远程药学服务)药房为 19974 名患者提供了药物治疗,其中 6371 名(31.90%)和 1213 名(6.07%)分别为 COVID-19 的疑似和确诊病例。对照组药房为 9151 名患者提供了治疗,其中 1074 名(11.74%)和 33 名(0.36%)分别为 COVID-19 的疑似和确诊病例。有远程服务的药房与没有远程服务的药房的 MDE 及其亚类、处方相关错误和药剂师咨询错误的发生率分别为 15.81%和 19.43%(<0.05)、5.38%和 10.08%(<0.05)以及 10.42%和 9.35%(>0.05)。

讨论

这是第一项提供高质量证据的研究之一,证明远程药学服务对 COVID-19 患者获得药物治疗的机会和药物配发安全的影响。

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