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首页> 外文期刊>Journal of evaluation in clinical practice >A retrospective study of drug-related problems in Australian aged care homes: medication reviews involving pharmacists and general practitioners.
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A retrospective study of drug-related problems in Australian aged care homes: medication reviews involving pharmacists and general practitioners.

机译：对澳大利亚养老院中与药物有关的问题的回顾性研究：涉及药剂师和全科医生的药物审查。

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BACKGROUND: Drug-related problems (DRPs) in Australian aged care homes have been studied previously. However, little is known about the acceptance and implementation of pharmacists' recommendations by general practitioners (GPs) to resolve DRPs. OBJECTIVES: The primary objective of this study was to investigate the number and nature of DRPs identified by accredited clinical pharmacists. The secondary objective was to study the GP acceptance and implementation of pharmacist recommendations to resolve DRPs. METHODS: This was a retrospective study of 500 randomly selected, de-identified medication reviews performed by 10 accredited clinical pharmacists over 6 months across 62 aged care homes. The DRPs identified by pharmacists were subsequently classified by the drugs involved, types of problem (indication, effectiveness and safety) and medical diagnoses of the patient. GP written feedback on the medication review reports determined implementation of pharmacists' recommendations to resolve the DRPs. RESULTS: A total of 1433 DRPs were identified in 480 of the 500 residents. Potential DRPs were frequently classified as risk of adverse drug reactions, need for additional monitoring and inappropriate choice of a drug. Alimentary, cardiovascular, central nervous system and respiratory drugs were most frequently implicated, accounting for more than 75% of the DRPs. GPs' acceptance and implementation of pharmacists recommendations were 72.5% (95% CI; 70.2, 74.8) and 58.1% (95% CI; 55.5, 60.6), respectively. CONCLUSIONS: Over 96% of the residents had potential DRPs identified by pharmacists. GP acceptance of pharmacists' recommendations was independent of the drug category, but not independent of the disease category.
机译：背景：以前已经研究了澳大利亚养老院中与毒品有关的问题（DRP）。但是，对于全科医生解决DRP的药师建议的接受和实施了解甚少。目的：本研究的主要目的是调查由合格的临床药剂师鉴定出的DRP的数量和性质。次要目标是研究GP的接受度以及执行药剂师建议以解决DRP的建议。方法：这是一项回顾性研究，由62位养老院中的10位经过认可的临床药剂师在6个月内对500份随机选择的，不确定的药物进行了回顾。随后，根据所涉及的药物，问题类型（适应症，有效性和安全性）和患者的医疗诊断对药剂师确定的DRP进行分类。 GP对药物审查报告的书面反馈确定了解决DRP的药剂师建议的实施。结果：在500名居民中的480名居民中，共鉴定出1433个DRP。潜在的DRP经常被归类为药物不良反应的风险，需要额外监测和药物选择不当的风险。饮食，心血管，中枢神经系统和呼吸道药物最常见，占DRP的75％以上。全科医生对药剂师建议的接受度和实施率分别为72.5％（95％CI; 70.2、74.8）和58.1％（95％CI; 55.5、60.6）。结论：超过96％的居民具有药师确定的潜在DRP。 GP对药剂师建议的接受与药物类别无关，但与疾病类别无关。

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