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评估在千叶大学医院门诊处方上列出的药物连接实验室数据的可用性。

Usability assessment of drug-linking laboratory data listed on prescriptions for outpatients of chiba university hospital.

机构信息

Division of Pharmacy, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku Chiba-shi, Chiba, 260-8677, Japan.

出版信息

Sci Rep. 2021 Jan 18;11(1):1715. doi: 10.1038/s41598-021-81344-y.

Abstract

To evaluate the impact of pharmacotherapy on efficacy and safety by providing laboratory data information linked to medicines on outpatient prescriptions from the hospital to the community pharmacy. Beginning on October 28, 2014, standardized laboratory data and drug-linking laboratory data were included with outpatient prescriptions at our hospital. We have created a database of drug-linking laboratory data for all drugs that can be prescribed in Japan. We counted the number of prescription inquiries related to laboratory data from community pharmacies, including those leading to prescription changes. Before laboratory data were listed on outpatient prescriptions, 4 prescription inquiries from community pharmacies per year were related to laboratory data. After our hospital started to list laboratory data, this number rose to 643, 576, 563, and 847 in the first, second, third, and fourth year (P < .05). Of these, 132, 143, 152, and 224 inquiries resulted in prescription changes. Listing laboratory data on outpatient prescriptions avoided 153 contraindications and 84 exacerbations of adverse drug reactions in four years by a prescription inquiry that had never been done before. The efficacy and safety of pharmacotherapy can be improved by listing relevant laboratory data on outpatient prescriptions.

摘要

评估药物治疗对疗效和安全性的影响,提供与医院开至社区药房的药品相关的实验室数据信息。自 2014 年 10 月 28 日起,我院开始在门诊处方中纳入标准化实验室数据和与药物相关的实验室数据。我们已经创建了一个日本所有可开处方药物的与药物相关的实验室数据数据库。我们统计了社区药房与实验室数据相关的处方查询数量,包括导致处方改变的查询数量。在门诊处方中列出实验室数据之前,每年有 4 次与实验室数据相关的社区药房处方查询。自我院开始列出实验室数据以来,第一年、第二年、第三年和第四年的查询数量分别为 643、576、563 和 847(P<.05)。其中,有 132、143、152 和 224 次查询导致了处方改变。通过以前从未进行过的处方查询,列出门诊处方中的实验室数据,在四年内避免了 153 例禁忌证和 84 例药物不良反应加重。通过列出门诊处方中的相关实验室数据,可以提高药物治疗的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b8/7814059/61d3e1ca6f3a/41598_2021_81344_Fig1_HTML.jpg

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