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沙特阿拉伯王国吉达市一家三级护理医院中药剂师治疗干预记录(TID)的方法学评估

A Methodological Assessment of Pharmacist Therapeutic Intervention Documentation (TID) in a Single Tertiary Care Hospital in Jeddah, Kingdom of Saudi Arabia.

作者信息

Alwadie Ali F, Naeem Anjum, Almazmomi Meaad, Baswaid Meshail A, Alzahrani Yahya A, Alzahrani Abdullah M

机构信息

Pharmaceutical Care Department, Ministry of National Guard-Health Affairs, Jeddah 22384, Saudi Arabia.

King Abdullah International Medical Research Center, Jeddah 22384, Saudi Arabia.

出版信息

Pharmacy (Basel). 2021 Apr 28;9(2):97. doi: 10.3390/pharmacy9020097.

Abstract

Pharmacist intervention has valuable input to the healthcare system by reducing medication errors, costs of treatment and improving therapeutic outcomes. This study aimed to analyze pharmacists' interventions during the verification of computerized physician order entry and to determine the association between prescribers' level and type of prescribing errors. In this cross-sectional, observational study, data collection was carried out over three months starting from 1 January 2020 to 31 March 2020. Included were 2405 interventions documented by 52 different pharmacists. The prevalence of prescribing order entry errors was 9.1%. The most identifiable type of intervention was incorrect dilution (40.2%) followed by dose substitution (27.7%). The drug category associated with a high percentage of interventions was perfusion solutions (41%), followed by antibacterial (35%). The number of junior physician orders that required pharmacist intervention was higher than other prescribers (45.2%), followed by specialist and senior physicians, (31.4% and 15.5%, respectively). Prescriber ordering time and types of prescribing errors were shown to have a significant ( < 0.05) association. Internal medicine physicians entered the highest percentage of prescribing errors, representing 22.7%. The current study concluded that TID has significant potential to reduce drug-related problems; TID fatigue is a real problem that might be under-reported and addressing this point in future studies would be of great value.

摘要

药剂师干预通过减少用药错误、降低治疗成本和改善治疗效果,为医疗保健系统提供了有价值的贡献。本研究旨在分析药剂师在审核计算机化医师医嘱录入过程中的干预措施,并确定开处方者的水平与处方错误类型之间的关联。在这项横断面观察性研究中,数据收集从2020年1月1日开始,持续了三个月,至2020年3月31日结束。纳入了52名不同药剂师记录的2405次干预措施。处方录入错误的发生率为9.1%。最常见的干预类型是稀释错误(40.2%),其次是剂量替换(27.7%)。与高比例干预措施相关的药物类别是灌注液(41%),其次是抗菌药物(35%)。需要药剂师干预的初级医师医嘱数量高于其他开处方者(45.2%),其次是专科医师和高级医师(分别为31.4%和15.5%)。开处方者的开单时间和处方错误类型显示出显著(<0.05)关联。内科医师录入的处方错误比例最高,占22.7%。本研究得出结论,每日三次给药方案在减少药物相关问题方面具有巨大潜力;每日三次给药方案导致的疲劳是一个实际问题,可能未得到充分报告,在未来研究中解决这一问题将具有重要价值。

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