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首页> 外文期刊>Therapeutic advances in drug safety. >Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and postintervention study
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Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and postintervention study

机译：药剂师辅助电子在入场时对入住性骨科单元及其对药物错误的影响：预先和后期研究

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Background: Prescribing and administration errors related to pre-admission medications are common amongst orthopaedic inpatients. Postprescribing medication reconciliation by clinical pharmacists after hospital admission prevents some but not all errors from reaching the patient. Involving pharmacists at the prescribing stage may more effectively prevent errors. The aim of the study was to evaluate the effect of pharmacist-assisted electronic prescribing at the time of hospital admission on medication errors in orthopaedic inpatients. Methods: A pre- and postintervention study was conducted in the orthopaedic unit of a major metropolitan Australian hospital. During the 10-week intervention phase, a project pharmacist used electronic prescribing to assist with prescribing admission medications and postoperative venous thromboembolism (VTE) prophylaxis, in consultation with orthopaedic medical officers. The primary endpoint was the number of medication errors per patient within 72?h of admission. Secondary endpoints included the number and consequence of adverse events (AEs) associated with admission medication errors and the time delay in administering VTE prophylaxis after elective surgery (number of hours after recommended postoperative dose-time). Results: A total of 198 and 210 patients, pre- and postintervention, were evaluated, respectively. The median number of admission medication errors per patient declined from six pre-intervention to one postintervention ( p??0.01). A total of 17 AEs were related to admission medication errors during the pre-intervention period compared with 1 postintervention. There were 54 and 63 elective surgery patients pre- and postintervention, respectively. The median delay in administering VTE prophylaxis for these patients declined from 9?h pre-intervention to 2?h postintervention ( p??0.01). Conclusions: Pharmacist-assisted electronic prescribing reduced the number of admission medication errors and associated AEs.
机译：背景：与预处理药物相关的处方和给药误差是矫形住院患者的常见。临床药剂师在医院入院后预测药物和解防止一些但不是所有误差到达患者。涉及处方阶段的药剂师可能更有效地防止错误。该研究的目的是评估药剂师辅助电子规定在医院入院时对矫形住院患者的药物误差的影响。方法：在大都会大都会医院的骨科单位进行了预先和后期研究。在10周干预阶段，项目药剂师使用电子处方，以协助与骨科医疗官员协商，协助开术治疗药物和术后静脉血栓栓塞（VTE）预防。主要终点是每位患者在72岁内的药物误差的数量。次要终点包括与入院药物误差相关的不良事件（AES）的数量和后果，以及在选修外科施用vte预防的时间延迟（推荐的术后剂量时间后的小时数）。结果：共有198例和210名患者，预先和临床前提。每位患者的入院药物错误的中位数从六次介入到一个临时工前均下降（P？<？0.01）。与1次临时直接相比，共17个AE与入学期间与入学药物误差有关。分别有54和63名选修手术患者分别预先和临时。向这些患者的vteb预防施用的中位延迟从9？H预先介入到2？H后期（P？<0.01）。结论：药剂师辅助电子处方减少了入院药物误差和相关AES的数量。

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