Drug-related problems on hospital admission: Relationship to medication information transfer
Drug-related problems on hospital admission: Relationship to medication information transfer
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DOI：
10.1345/aph.1g482
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发表时间：
2006-03-01
影响因子：
2.9
通讯作者：
Bajcar, JM
中科院分区：
文献类型：
--
作者：
Ong, SW;Fernandes, OA;Bajcar, JM
背景技术背景：终末期肾病（ESRD）患者存在药物相关问题（DRPs）的风险，尤其是在入院时。目的：识别和描述ESRD患者入院时经历的DRPs，并调查这些DRPs如何与药物信息传递的差距相关。由药剂师对入院的ESRD患者进行前瞻性识别和临床评估，以在入院时识别和分类DRP。对每个DRP进行评价，以确定其是否可能是由药物信息传输中的差距引起的。对于以这种方式引起的DRPs，在信息传递过程中的接口，其中差距可能已经发生determined.RESULTS：共199 DRPs被确定在47例终末期肾病超过12周的时间。92%的患者在入院时至少有一次DRP，平均每位患者有4.2 +/- 2.2次DRP。最常见的DRP是药物治疗的适应症-患者需要药物但未接受药物治疗（51.3%）。在所有的DRPs中，130例（65%）与药物信息传递的差距有关，21.5%发生在住院医院和门诊药师之间，17.7%发生在入院医生和患者之间。这项研究的结果表明，在ESRD患者中，入院时的DRPs通常与医疗保健专业人员之间以及医疗保健提供者和患者之间的药物信息传输差距有关。需要在药物信息传输接口处改进通信以防止这些DRP。
BACKGROUND: Patients with end-stage renal disease (ESRD) are at risk for drug-related problems (DRPs), especially on hospital admission.OBJECTIVE: To identify and characterize the DRPs experienced by patients with ESRD on admission and investigate how these DRPs could be related to gaps in medication information transfer.METHODS: Patients with ESRD admitted to the hospital were prospectively identified and clinically assessed by a pharmacist to identify and categorize DRPs on admission. Each DRP was evaluated to determine whether it could have been caused by a gap in medication information transfer. For DRPs caused in this manner, the interface in the information transfer process where the gap may have occurred was determined.RESULTS: A total of 199 DRPs were identified in 47 patients with ESRD over a 12 week period. Ninety-two percent of patients had at least one DRP on admission, with an average of 4.2 +/- 2.2 DRPs per patient. The most common DRP identified was indication for drug therapy-patient requires drug but is not receiving it (51.3%). Of the total DRPs, 130 (65%) were related to gaps in medication information transfer, with 21.5% occurring between the inpatient hospital and the ambulatory clinic pharmacists and 17.7% between the admitting physician and the patient.CONCLUSIONS: Results of this study demonstrate that, in patients with ESRD, DRPs on admission are frequently related to gaps in medication information transfer between healthcare professionals and also between healthcare providers and patients. Improved communication is required at medication information transfer interfaces to prevent these DRPs.