頁籤選單縮合
題 名 | 用雲端藥歷系統對用藥安全之成效=The Effectiveness of Medication Safety for Using PharmaCloud System |
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作 者 | 方亞芸; 吳錦松; 許菁菁; | 書刊名 | 藥學雜誌 |
卷 期 | 30:3=120 2014.09[民103.09] |
頁 次 | 頁107-112 |
分類號 | 418.81 |
關鍵詞 | 健保雲端藥歷系統; 重複開藥用藥; 用藥安全; PharmaCloud System; Therapeutic duplications; Medication safety; |
語 文 | 中文(Chinese) |
中文摘要 | 健保署於2013年7月建置健保雲端藥歷系統 (PharmaCloud System),簡稱雲端藥 歷,為解決重複開藥用藥維護民眾用藥安全。本研究針對桃竹苗四縣市使用雲端藥歷 系統之醫院,徵求醫院同意加入本研究作為介入組,共計13家,每月定期回饋用藥安 全指標並開會討論用藥安全指標、互相分享院內管控策略及進行案例報告,對照組則 依照例行管理作業進行。觀察2014年3月至5月結果發現,降血壓藥跨院重複後測平 均為1.26% ± 2.41% 較前測下降 (p = 0.023),降血糖藥跨院重複後測平均值為6.66% ± 1.46%較前測下降 (p = 0.016),隨著時間變化呈下降趨勢,達統計上顯著意義 (F = 13.43, p < 0.05 VS. F = 7.65, p < 0.05)。「65歲以上老人潛在不適當用藥比率」介入組 後測較前測下降,平均值為28.77% ± 5.09% (p = 0.028)。透過雲端藥歷查詢跨院三高 用藥重複率有顯著下降,顯示不論醫師或藥師在查詢雲端藥歷系統可透過系統時,提 供資訊判斷有否重複開藥用藥且可確定有效改善重複開藥用藥。 |
英文摘要 | National Health Insurance Administration established PharmaCloud System in July 2014. The purpose is to decrease therapeutic duplications and enhance public medication safety. In this study, there were 13 hospitals who using the system to join. During the study,the intervention group received the performance is indicators and to share management strategies per month. The results of the intervention group in therapeutic duplications rates for anti-hypertensive agents was 1.26% ± 2.41% (P = .0023) and for drugs used in diavetes was 6.66% ± 1.46% (P = .016). Comparing with the previous rates declining was over time. The elder's (≧ 65 y/o) potentially inappropriate medication rate" for the intervention group 28.77% ± 5.09% (P = 0.028) was declining significantly. The physician and pharmacist using PharmaCloud System can check patient medication to reduce therapeutic duplications significantly. |
本系統中英文摘要資訊取自各篇刊載內容。