...
【24h】

Implementation of clinical pharmacy services in an academic oncology practice in India

机译:在印度学术肿瘤学实践中的实施临床药房服务

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       

摘要

Objective This study was conducted to investigate medication-related problems after implementation of clinical pharmacy services at a speciality oncology care setting. Methods It was a prospective interventional study conducted for a period of three years at a private academic oncology care setting. Paper-based medical records and medication orders were reviewed and patients and care givers were interviewed to understand the treatment plan. All the medication-related problems were identified by clinical pharmacists by performing drug therapy review. Patients were also followed up at ambulatory care and in-patient units to ensure appropriate administration of anti-cancer drugs by nurses. All the medication-related problems were discussed with the concerned clinicians and then were resolved with the interventions of clinical pharmacists. Clinical significance of these interventions were assessed and classified as "Major", "Moderate "and "Minor". Educational, clinical and system-based interventions were developed and implemented to minimize medication-related problems at the study site. Results A total of 1359 medication-related problems were identified from 2120 medication orders reviewed of 1362 patients followed during the study period. The most common medication-related problems were lack of suboptimal supportive care (17.95%), inappropriate administration of medications (14.56%), untreated indication (14.20%), wrong dosing calculations (12.21%), drug-drug interactions (11.62%) and sub-therapeutic dose (11.11%). Clinical pharmacy interventions were made to resolve all the medication-related problems. Clinical significance of majority (n = 504, 37.08%) of medication-related problems was "Moderate" followed by "Major" (n = 434, 31.93%) and "Minor" (n = 421, 30.97%). Conclusion The study has demonstrated the importance of clinical pharmacy services in improving quality and safe use of medicines in oncology practice. Positive feedback of clinicians on clinical pharmacy services was a reflection of acceptance of clinical pharmacy interventions by clinicians.
机译:目的是在特殊肿瘤护理环境下实施临床药房服务后调查药物相关问题的研究。方法是在私立学术肿瘤护理环境下进行三年的前瞻性介入研究。综述了纸张的病历和药物秩序,并进行了采访患者和护理士,以了解治疗计划。通过进行药物治疗审查,临床药剂师鉴定了所有药物相关问题。患者也随访,随后采用护理和病人单位,以确保护士适当施用抗癌药物。与有关临床医生讨论过所有的药物相关问题,然后随着临床药剂师的干预解决。这些干预措施的临床意义被评估并归类为“主要”,“中等”和“次要”。制定并实施了基于教育,临床和系统的干预措施,以尽量减少研究现场的药物有关的问题。结果综述了1362名患者的2120名药物治疗订单中共有1359个相关的问题。最常见的药物相关问题缺乏次优容的护理(17.95%),药物施用不适当的药物(14.56%),未处理的指示(14.20%),错误的计量计算(12.21%),药物 - 药物相互作用(11.62%)和亚治疗剂量(11.11%)。临床药房干预措施解决了所有与药物相关的问题。多数(n = 504,37.08%)药物相关问题的临床意义是“中等”,其次是“主要”(n = 434,31.93%)和“次要”(n = 421,30.97%)。结论该研究表明了临床药房服务在提高肿瘤学实践中提高药物的质量和安全使用的重要性。临床药房服务的临床医生的积极反馈是临床医生接受临床药房干预的反映。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号