Best possible medication history interview guide: a rapid scoping review.

먼저 결론

이 연구는 가장 정확한 약물력 확인을 위한 인터뷰 가이드를 다룬 참고 자료입니다. 진료 전에는 처방약, 일반약, 영양제, 한약, 가끔 먹는 진통제까지 포함해 실제 복용 목록을 정리해 의료진에게 보여주면 상호작용과 중복 복용을 줄이는 데 도움이 됩니다.

연구 요약

Best possible medication history interview guide: a rapid scoping review.

BMJ open quality 학술지에 발표된 이 연구는 Ho JM, Tung JM, Watt A 외 연구팀이 수행하였습니다.

이 연구는 'Best possible medication history interview guide: a rapid scoping review.'에 대한 과학적 분석을 제공합니다.

핵심 내용

BACKGROUND: Adverse drug events are a significant cause of morbidity, mortality, and healthcare costs. The Best Possible Medication History (BPMH) is a systematic compilation of a patient's medications derived using at least two sources of information including a patient interview. We sought to update the BPMH interview guide developed by the Institute for Safe Medication Practices (ISMP) Canada to reflect the evolving healthcare landscape. OBJECTIVES: We conducted a rapid scoping review to develop questions and a standardised procedure for completing a BPMH, and to understand patient, caregiver, and healthcare professional preferences or perceptions regarding the BPMH interview. METHODS: We searched Medline, the Joanna Briggs Institute Evidence-Based Practice Database, the Evidence-Based Medicine Reviews database, and grey literature. We included peer-reviewed quantitative literature (randomised/non-randomised controlled trials, observational studies), qualitative studies, systematic reviews, and grey literature (including guidelines, quality improvement initiatives, patient experiences, health technology assessments). Following pilot testing to ensure inter-rater reliability, articles were screened and data extracted in duplicate using the Covidence platform. INPLASY registration protocol INPLASY2024110033. RESULTS: Our search identified 5424 records, and after removing duplicates and screening, we extracted data from 95 articles. Identified studies provided additional questions and procedural steps for assessing adherence, use of non-prescription medications and substances (eg, alcohol, smoking, cannabis, recreational use), and integration of virtual care into the BPMH guide. Perceived facilitators and barriers to conducting a BPMH included clinical leadership support for trained healthcare professionals to perform a BPMH, virtual care, access to technology, and intact hearing for patients or interviewed caregivers. CONCLUSIONS: This review identified additional questions and approaches for updating the ISMP Canada BPMH interview guide. Additional feedback from users of the existing interview guide, and patients and caregivers who have participated in a BPMH interview should be integrated through codesign into the new updated ISMP Canada BPMH guide. TRIAL REGISTRATION NUMBER: INPLASY2024110033.

일반인을 위한 해석

구체적인 실천 사항은 담당 의사 또는 약사와 상담하시기 바랍니다.

실천 사항

• 현재 복용 중인 약물이나 영양제에 대해 궁금한 점이 있다면 담당 의사 또는 약사와 상담하시기 바랍니다
• 약물이나 영양제의 용법·용량을 임의로 변경하지 마세요
• 이상 반응이 나타나면 즉시 전문가에게 문의하세요

의사/약사의 전문적 판단을 대체하지 않습니다 (PMID: 41692512)

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