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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >The Impact of Face-to-Face Pharmacist Transitional Care Management Visits on Medication-Related Problems
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The Impact of Face-to-Face Pharmacist Transitional Care Management Visits on Medication-Related Problems

机译:面对面药剂师过渡管理管理对药物相关问题的影响

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Background: Studies are needed to evaluate medication-related problems (MRPs) to assess the effect of a pharmacist on managing medications postdischarge. Objective: To assess the ability of pharmacist-led medication review and reconciliation to reduce the number of MRPs found in transitional care medicine (TCM) visits, leading to medication optimization. Methods: This study involved a retrospective chart review of standard TCM procedure at a family/internal medicine clinic and a prospective, team-based TCM visit in the same clinic. Inclusion criteria included patients discharged from any hospital within our institution and seen in the clinic. The primary outcome was the difference in the proportion of MRPs found between the prospective and retrospective groups. Secondary outcomes included the number and specific type of MRPs found, classified by the Pharmaceutical Care Network Europe tool, and further subdivided by patient aware or unaware of MRP, only in the prospective group, as well as 30-day readmission rate. Results: Patients in the prospective group (n = 50) had an average age of 67.9 years versus 65.5 years in the retrospective group (n = 50). Four times as many patients in the prospective group were found to have MRPs than the retrospective group. The most common MRP was due to a patient-related factor, meaning the cause is related to a patient's behavior. Patients were unaware of the MRP in a majority of these cases. Thirty-day readmission rate did not differ between the groups. Conclusion: Team-based TCM visits that included a pharmacist-led medication reconciliation uncovered more MRPs than patients who did not have a pharmacist perform a medication reconciliation.
机译:背景:需要研究以评估药物相关问题(MRP)以评估药剂师对迟交药物治疗药物的影响。目的:评估药剂师LED药物审查与和解的能力,以减少过渡治疗医学(中医)访问中发现的MRP的数量,导致药物优化。方法:本研究涉及在家庭/内科诊所的标准TCM程序和在同一诊所的前瞻性,基于团队的中医访问的回顾性审查。纳入标准包括从我们所在机构内的任何医院发出的患者,并在诊所中看到。主要结果是前瞻性和回顾性群体中MRP比例的差异。次要结果包括发现的MRP的数量和特定类型的MRP,由药物护理网络欧洲工具分类,并进一步被患者意识到或不知道MRP,只在预期组,以及30天的入院率。结果:前瞻性群体(N = 50)的患者平均年龄为67.9岁,回顾一组65.5岁(n = 50)。发现前瞻性组中的许多患者的四次具有MRP,而不是回顾性集团。最常见的MRP是由于患者相关的因素,这意味着原因与患者的行为有关。患者在大多数情况下没有意识到MRP。小组之间的30天的入院率没有区别。结论:基于团队的TCM访问,包括药剂师的LED药物和解,比没有药剂师的患者揭露更多的MRPS进行药物和解。

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