某儿童医院药师入院用药调解服务效果分析。

Q2 Medicine
Sara W Hovey, Kristen W Click, Jessica L Jacobson
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引用次数: 0

摘要

目的:评价某儿童医院以药师为主导的住院药物调解服务的临床效果,并估算成本节约。方法:这是一项前瞻性观察队列研究,在90天的时间内测量了儿科患者的药剂师干预措施。药剂师实时记录了在药物调解过程中发现的所有干预措施。回顾性收集患者人口统计资料。预防药物不良事件(ADEs)的成本避免是根据先前发表的文献进行估计的。结果:药师在研究期间共完成入院用药和解283次。其中,69%的药物和解需要干预。干预措施影响了21.9%的患者住院期间的护理,8次药物调解导致了严重不良事件的预防。这项药剂师领导的服务在3个月期间估计节省了46 746.65美元的费用。结论:实施药师主导的儿科患者入院用药调解服务,提高了用药安全性,显著降低了成本,值得投入药师资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of a Pharmacist Admission Medication Reconciliation Service at a Children's Hospital.

Objective: To evaluate the clinical effect and estimate cost avoidance attributed to a pharmacist-led admission medication reconciliation service at a children's hospital.

Methods: This was a prospective observational cohort study that measured pharmacist interventions for pediatric patients over a 90-day period. Pharmacists logged all interventions identified during medication reconciliation in real time. Patient demographic data were collected retrospectively. Cost avoidance from prevented adverse drug events (ADEs) was estimated based on previously published literature.

Results: Pharmacists completed 283 admission medication reconciliations during the study period. Of those, 69% of medication reconciliations required intervention. Interventions affected care during the hospital admission in 21.9% of patients and 8 medication reconciliations resulted in prevention of a major ADE. This pharmacist-led service resulted in an estimated cost avoidance of $46,746.65 in the 3-month period.

Conclusions: Implementation of a pharmacist-led admission medication reconciliation service for pediatric patients improved medication safety and resulted in significant cost avoidance, which justifies investment in these pharmacist resources.

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来源期刊
Journal of Pediatric Pharmacology and Therapeutics
Journal of Pediatric Pharmacology and Therapeutics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.40
自引率
0.00%
发文量
90
期刊介绍: The Journal of Pediatric Pharmacology and Therapeutics is the official journal of the Pediatric Pharmacy Advocacy Group. JPPT is a peer-reviewed multi disciplinary journal that is devoted to promoting the safe and effective use of medications in infants and children. To this end, the journal publishes practical information for all practitioners who provide care to pediatric patients. Each issue includes review articles, original clinical investigations, case reports, editorials, and other information relevant to pediatric medication therapy. The Journal focuses all work on issues related to the practice of pediatric pharmacology and therapeutics. The scope of content includes pharmacotherapy, extemporaneous compounding, dosing, methods of medication administration, medication error prevention, and legislative issues. The Journal will contain original research, review articles, short subjects, case reports, clinical investigations, editorials, and news from such organizations as the Pediatric Pharmacy Advocacy Group, the FDA, the American Academy of Pediatrics, the American Society of Health-System Pharmacists, and so on.
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