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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >PDA-Based Documentation of Medication Interventions in an Ambulatory Care Setting
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PDA-Based Documentation of Medication Interventions in an Ambulatory Care Setting

机译：在非卧床护理环境中基于PDA的药物干预文献

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Background: Although personal digital assistant (PDA)-based documentation systems are available for documentation of clinical pharmacy services, none is specific to documentation of drug-related problems (DRPs) in the ambulatory care setting.Objective: To describe types of medication interventions performed by pharmacists in an urban ambulatory care clinic within a teaching hospital, determine predictors of preselected DRPs, and describe physician acceptance rates.Methods: Following development of a PDA-based documentation system, this 6 month prospective study documented interventions performed by a clinical pharmacy team. Descriptive statistics were employed to describe the type and frequency of interventions and physician acceptance rates. Multivariate logistic regression analysis was used to determine significant predictors for preselected DRPs.Results: Over a 6 month period, 965 interventions were documented. The patients' mean +- SD age was 61.8 +-15.51 years, 72.3% of patients were female, and the mean number of medications was 7.1 +- 3.95 per intervention. The most common interventions were laboratory monitoring (56.2%), patient education (14.5%), and changes in drug therapy (12.4%). The use of antihypertensive agents was a predictor for the DRPs "dose too high" and "dose too low" (p = 0.001 and p = 0.003, respectively). Of the applicable interventions, 89.8% (246/274) were accepted by the physician.Conclusions: Pharmacists in this urban ambulatory care clinic offered a variety of recommendations that were well received by physicians.
机译：背景：尽管基于个人数字助理（PDA）的文档系统可用于临床药房服务的文档记录，但没有一个系统专门针对非卧床护理环境中的药物相关问题（DRP）的文档。目的：描述所进行的药物干预的类型由药剂师在教学医院内的城市门诊诊所中进行，确定预选DRP的预测因子，并描述医师的接受率。方法：在开发了基于PDA的文档系统之后，此为期6个月的前瞻性研究记录了临床药房团队进行的干预。描述性统计用于描述干预的类型和频率以及医生的接受率。结果：在6个月的时间内，记录了965项干预措施。患者的平均±SD年龄为61.8±-15.51岁，72.3％的患者为女性，平均每次干预用药次数为7.1±3.95。最常见的干预措施是实验室监测（56.2％），患者教育（14.5％）和药物治疗改变（12.4％）。抗高血压药的使用是DRP“剂量过高”和“剂量过低”的预测指标（分别为p = 0.001和p = 0.003）。在适用的干预措施中，有89.8％（246/274）被医生接受。结论：该城市门诊诊所的药剂师提供了许多建议，受到了医生的好评。

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