tailieunhanh - Báo cáo y học: "On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study. | Klopotowska et al. Critical Care 2010 14 R174 http content 14 5 R174 c CRITICAL CARE RESEARCH Open Access On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm an intervention study 1 1 1 2 3 Joanna E Klopotowska Rob Kuiper Hendrikus J van Kan Anne-Cornelie de Pont Marcel G Dijkgraaf Loraine Lie-A-Huen1 Margreeth B Vroom2 Susanne M Smorenburg4 Abstract Introduction Patients admitted to an intensive care unit ICU are at high risk for prescribing errors and related adverse drug events ADEs . An effective intervention to decrease this risk based on studies conducted mainly in North America is on-ward participation of a clinical pharmacist in an ICU team. As the Dutch Healthcare System is organized differently and the on-ward role of hospital pharmacists in Dutch ICU teams is not well established we conducted an intervention study to investigate whether participation of a hospital pharmacist can also be an effective approach in reducing prescribing errors and related patient harm preventable ADEs in this specific setting. Methods A prospective study compared a baseline period with an intervention period. During the intervention period an ICU hospital pharmacist reviewed medication orders for patients admitted to the ICU noted issues related to prescribing formulated recommendations and discussed those during patient review meetings with the attending ICU physicians. Prescribing issues were scored as prescribing errors when consensus was reached between the ICU hospital pharmacist and ICU physicians. Results During the study period medication orders for 1 173 patients were reviewed. The ICU hospital pharmacist made a total of 659 recommendations. During the intervention period the rate of consensus between the ICU hospital pharmacist and ICU physicians was 74 . The incidence of prescribing errors during the intervention period was significantly lower than during the .