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挪威社区和医院药房的处方药物干预措施。

Pharmaceutical interventions on prescriptions in Norwegian community and hospital pharmacies.

机构信息

Department of Quality and Development, Hospital Pharmacies Enterprise in Western Norway, Bergen, Norway.

Boots Pharmacy Revetal, Wallgreens Boots Alliance, Revetal, Norway.

出版信息

Int J Clin Pharm. 2021 Aug;43(4):872-877. doi: 10.1007/s11096-020-01188-w. Epub 2020 Nov 6.

Abstract

Background Pharmacists in community and hospital pharmacies assess prescriptions to prevent prescription errors and adverse drug events. There are, however, few reports on prevalence of clinical important pharmaceutical interventions for patients located within primary care. Objective To study documented pharmaceutical interventions on prescriptions in Norwegian pharmacies for patients located in primary care. Setting Data were collected in 11 community pharmacies during a 3 months period in 2016, and the outpatient department of four hospital pharmacies in Norway during a 6 months period of 2018. Method Retrospective analysis of electronically documented pharmaceutical interventions on prescriptions for patients located in primary care. Main outcome measure The number and classification of pharmaceutical interventions in relation to the total number of prescriptions. Results An intervention was documented in 124,178 (45.1%) of the 275,339 prescriptions dispensed during the study period. Interventions of potential clinical importance were performed and documented in 0.8% (2262) of the prescriptions. Conclusion A substantial number of pharmaceutical interventions are performed on prescriptions in Norwegian pharmacies after introduction of electronic prescriptions. A potentially clinical important intervention is performed in one of every 125 prescriptions (0.8%). This result indicates that pharmacists at Norwegian pharmacies prevent more than 400,000 prescription errors of potential clinical importance each year.

摘要

背景

社区和医院药房的药剂师评估处方,以防止处方错误和药物不良事件。然而,关于初级保健患者的临床重要药物干预的流行情况报告很少。目的:研究挪威药房中记录在案的针对初级保健患者的处方药物干预。设置:2016 年 3 个月期间在 11 家社区药房收集数据,2018 年 6 个月期间在挪威 4 家医院药房的门诊部门收集数据。方法:对记录在案的针对初级保健患者的处方的药物干预进行回顾性分析。主要观察指标:与总处方数相关的药物干预数量和分类。结果:在研究期间分发的 275339 张处方中,有 124178 张(45.1%)记录了干预措施。对潜在临床重要性的干预措施进行了记录和记录,占处方的 0.8%(2262)。结论:在引入电子处方后,挪威药房对大量处方进行了药物干预。每 125 张处方中就有 1 张(0.8%)进行了潜在临床重要的干预。这一结果表明,挪威药房的药剂师每年可预防超过 40 万次潜在临床重要的处方错误。

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