Safe Use of Medications in Primary Care Practices

在初级保健实践中安全使用药物

• 批准号: 7037036
• 负责人: GRACE M. KUO
• 金额: $ 9.88万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7037036
• 关键词: chemotherapy; clinical research; combination chemotherapy; drug adverse effect; focus groups; health care professional practice; health care service evaluation; health services research tag; human subject; information dissemination; interview; medical records; mentoring /mentor; outpatient care; patient care management; patient oriented research; patient safety /medical error; primary care physician; training

DESCRIPTION (provided by applicant): Medication error, a common type of medical error, carries a tremendous social burden. An estimated 770,000 Americans each year experience adverse drug events that result in injury or death at a total cost of $2 billion. These statistics have made the reduction of medication errors a national priority. Because of the number of medications prescribed in the outpatient setting and because most data on medication errors come from the inpatient setting, the Institute of Medicine has called for more research on medication errors in the outpatient setting. This K08 application outlines a five-year plan to support a candidate who is already contributing to clinical research on outpatient medication safety. The candidate is a clinical pharmacist with 10 years of working experience and specialty training in primary care and strong support from her academic department. In addition, she has substantial experience teaching pharmacotherapy and conducting practice-based research on medication safety. The career development plan provides a sequence of carefully selected training and mentoring experiences, including doctoral-level health services research coursework, mentored research leading to collaborative studies and publications, and professional networking, that will catapult her to the next level of research achievement. Her proposed research program, Safe Use of Medications in Primary Care Practices, has three specific aims: 1) to identify exemplary methods and exemplars for medication reconciliation (i.e., capturing and resolving discrepancies in the medications actually being taken and those recorded in patients' medical records); 2) to evaluate the feasibility of exemplary methods for medication reconciliation on primary care patients taking multiple medications; and 3) to disseminate study results and to extend the scope of this work in proposals to conduct outcomes trials.

描述（申请人提供）：用药错误是一种常见的医疗错误，带来了巨大的社会负担。据估计，每年有 770,000 名美国人经历药物不良事件，导致受伤或死亡，总损失达 20 亿美元。这些统计数据使减少用药错误成为国家优先事项。由于门诊开出的药物数量较多，而且大多数用药错误数据都来自住院患者，医学研究所呼吁对门诊用药错误进行更多研究。该 K08 申请概述了一项五年计划，以支持已经为门诊用药安全临床研究做出贡献的候选人。该候选人是一名临床药剂师，拥有10年的初级保健工作经验和专业培训，并得到了学术部门的大力支持。此外，她在药物治疗教学和药物安全性实践研究方面拥有丰富的经验。职业发展计划提供了一系列精心挑选的培训和指导经验，包括博士级卫生服务研究课程、指导合作研究和出版物的研究以及专业网络，这将使她的研究成就跃上一个新的水平。她提出的研究计划“初级保健实践中药物的安全使用”具有三个具体目标：1）确定药物协调的示范方法和范例（即捕获并解决实际服用的药物与患者病历中记录的药物之间的差异）； 2) 评估对服用多种药物的初级保健患者进行药物协调的示范方法的可行性； 3) 传播研究结果并在开展结果试验的提案中扩大这项工作的范围。