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篇名
精準醫療藥物基因提示訊息優化專案
並列篇名
Optimization of Drug-Gene Interaction Alerts in Precision Medicine
作者 王詩涵 (Emma Wang)陳毓凱沈玫秋鄭文韋黃合吟 (Ho-Yin Huang)王雅玲 (Ya-Ling Wang)洪麗雯陳旭輝
中文摘要

目的:本專案旨在改善藥物基因提示訊息有效性,加強精準醫療照護品質。方法:針對藥物基因提示訊息有效性不足的問題,分析出11項真因,並提出「SAFE」四大對策群組,包括提升藥師認知(培訓種子藥師、持續教育)、優化提示訊息(整合訊息、強化關鍵資訊)、簡化系統設計(重點提示、阻擋高風險藥物開立)及建置查詢管道(平台與病歷整合)。結果:藥物基因提示訊息平均分數由2.6分提升至3.7分,達成率122%。藥物基因提示訊息有效性4分以上由21組增加至34組,達成率118%。結論:透過「SAFE」對策,成功提升藥物基因提示訊息的有效性與臨床實用性,並推廣至體系醫院。此成果可供其他參與TPMI計畫的團隊參考,提升精準醫療照護成效。

 

英文摘要

Purpose: This project was conducted to improve both the effectiveness of drug-gene interaction alerts and the quality of precision medicine care. Methods: The research team identified 11 root causes of inadequacy in drug-gene interaction alerts and proposed the SAFE framework accordingly. This framework has four strategies: (1)increasing pharmacist knowledge through seed pharmacist training and continuous education, (2)optimizing the content of alerts by emphasizing key information, (3)simplifying system design to highlight critical alerts and block high-risk drug prescriptions, and (4)establishing query channels that integrate digital platforms and medical records. Results: The average effectiveness score of alerts on drug-gene interactions increased from 2.6 to 3.7, for a target accomplishment rate of 122%. The number of alerts rated above 4 increased from 21 to 34, for a target accomplishment rate of 118%. Conclusion: The SAFE framework improved the effectiveness and clinical utility of drug-gene alerts and was expanded to affiliated hospitals. The project outcomes provide a valuable reference for other teams participating in the Taiwan Precision Medicine Initiative, boosting care quality in precision medicine.

 

起訖頁 088-095
關鍵詞 精準醫療藥物基因提示訊息臺灣精準醫療計畫系統管控precision medicinedrug-gene interaction alertsTaiwan Precision Medicine Initiativesystem management
刊名 醫療品質雜誌  
期數 202505 (19:3期)
出版單位 財團法人醫院評鑑暨醫療品質策進會
該期刊-上一篇 提升急性心肌梗塞病人個案收案率與照護成效
該期刊-下一篇 奇力守護穩定控糖~糖尿病照護品質認證分享
 

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