Antithrombotic Questionnaire Tool for Evaluation of Combined Antithrombotic Therapy in Community Pharmacies.

IF 1.7 3区医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of Patient Safety Pub Date : 2024-09-01 Epub Date: 2024-06-26 DOI:10.1097/PTS.0000000000001246

Renate C A E van Uden, Barzo Sulaiman, Patricia A M Pols, Karina Meijer, Patricia M L A van den Bemt, Matthijs L Becker

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Abstract

Objective: The objective of this paper is to assess the diagnostic value of an antithrombotic questionnaire tool compared with the hospital's medical record information tool. The hypothesis of this study was that the antithrombotic questionnaire tool could identify patients with potentially incorrect antithrombotic therapy.

Methods: This cross-sectional study was conducted in eight community pharmacies in the Netherlands. A standardized questionnaire was developed as antithrombotic questionnaire tool. The pharmacist assessed whether the antithrombotic therapy was correct or potentially incorrect based on answers given by patients and based on the medical record. The primary outcome of the study was the sensitivity and specificity of the antithrombotic questionnaire tool to identify patients with potentially incorrect antithrombotic therapy.

Results: For 95 patients, the pharmacist assessed that in 81 (85%) the antithrombotic therapy was correct and in 14 (15%) potentially incorrect. Based on the medical record, 86 patients (91%) were assessed as correct and 9 (9%) as potentially incorrect. The sensitivity of the tool was 100% and the specificity 94%.

Conclusions: This study demonstrated that the antithrombotic questionnaire tool is a suitable tool to assess whether the patient's antithrombotic therapy is potentially incorrect. It can be applied to identify patients with potentially incorrect antithrombotic therapy.

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用于评估社区药房联合抗血栓疗法的抗血栓问卷工具。

目的：本文旨在评估抗血栓问卷工具与医院病历信息工具的诊断价值。本研究的假设是，抗血栓问卷工具可以识别出可能接受了错误抗血栓治疗的患者：这项横断面研究在荷兰的 8 家社区药房进行。方法：这项横断面研究在荷兰的 8 家社区药房进行，采用标准化问卷作为抗血栓问卷工具。药剂师根据患者的回答和医疗记录评估抗血栓治疗是否正确或可能不正确。研究的主要结果是抗血栓问卷工具在识别抗血栓治疗可能不正确的患者方面的敏感性和特异性：药剂师对 95 名患者进行了评估，其中 81 人（85%）的抗血栓治疗是正确的，14 人（15%）的抗血栓治疗可能是错误的。根据医疗记录，86 名患者（91%）被评估为正确，9 名患者（9%）可能不正确。该工具的灵敏度为 100%，特异性为 94%：本研究表明，抗血栓问卷工具是评估患者抗血栓治疗是否可能不正确的合适工具。该工具可用于识别抗血栓治疗可能不正确的患者。

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来源期刊

Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

13.60%

发文量

302

期刊介绍： Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.