Medicine information exchange networks among healthcare professionals and prescribing in geriatric medicine wards
Medicine information exchange networks among healthcare professionals and prescribing in geriatric medicine wards
复制标题
DOI：
10.1111/bcp.13222
复制
发表时间：
2017-06-01
影响因子：
3.4
通讯作者：
Hilmer, Sarah N.
中科院分区：
文献类型：
--
作者：
Chan, Bosco;Reeve, Emily;Hilmer, Sarah N.
目的有效的信息传递对合理的药物治疗至关重要。这对于老年患者尤其重要，他们的多种药物使用率很高，并由多学科团队管理。我们的目的是评估药物信息交换（MIE）网络在老年医学病房，他们是否与prescribingpatterns. METHODS相关，我们进行了网络分析，急性老年医学病房从四家医院多学科团队成员之间的特点MIE网络。相应的患者数据收集，以分析高风险处方与网络的特点。我们发现，初级医生，高级护士和药剂师的中央MIE在所有四家医院。医生比其他职业更容易在三家医院获得药品信息。互惠和在自己的职业范围内交流的倾向也影响了网络的形成。没有差异，观察到在开处方的做法hospital.CONCLUSIONSSUnderstanding MIE网络之间可以确定可以解决的多学科沟通的差距。网络可以确定传播干预措施的目标，以改善处方。
AIMSEffective transfer of information is vital for rational drug therapy. This is particularly important for older patients, who have a high prevalence of polypharmacy and are managed by multidisciplinary teams. We aimed to assess medicine information exchange (MIE) networks in geriatric medicine wards and whether they are associated with prescribing patterns.METHODSWe conducted network analysis in acute geriatric medicine wards from four hospitals to characterize MIE networks among multidisciplinary team members. Corresponding patient data were collected to analyze high-risk prescribing in conjunction with network characteristics.RESULTSWe found that junior doctors, senior nurses and pharmacists were central to MIE across all four hospitals. Doctors were more likely than other professions to receive medicines information in three hospitals. Reciprocity and the tendency to communicate within one's own profession also influenced network formation. No difference was observed in prescribing practice between hospitals.CONCLUSIONSUnderstanding MIE networks can identify gaps in multidisciplinary communication that can be addressed. Networks may identify targets for dissemination of interventions to improve prescribing.