AutoPharmacist: Automated Medication Monitoring System in Primary Care

AutoPharmacist：初级保健中的自动药物监测系统

• 批准号: 10100250
• 金额: $ 44.45万
• 依托单位: ABTRACE LIMITED
• 依托单位国家: 英国
• 项目类别: Collaborative R&D
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=10100250
• 关键词: AutoPharmacist; Automated; Medication; Monitoring; System

**BACKGROUND**Every year over **40% of the UK population take 770 million regular medications** to manage and prevent disease. Their General Practitioner (GP) has the vast task of ensuring they are on the right medications, **with 15% of the population taking more than 5 medications regularly, and 25% having multiple long-term conditions.****PROBLEM**In an over-stretched health system, medications can be...\***Overused**: where unnecessary, potentially harmful medicines **should be** **stopped** because of side effects, interactions or ineffectiveness\***Underused**: where vital, disease-preventing medicines **should be** **started**Both have health consequences and cost implications for the NHS that are entirely avoidable.**CURRENT PRACTICE**Doctors/Pharmacists are expected to ...1. look through large volumes of medical data, with information 'hidden' in the free-text notes2.Collect additional information from patients3.Maintain up-to-date knowledge of ever-changing clinical guidelines for each medicine and disease4.Identify potential side effects and contra-indications5.Escalate therapy when the treatment is not working**NEED**Regular reviews for all patients, putting into practice already existing, clear, guidelines would identify these errors with **continuous, clinical, decisions individualised to each patient**.The **potential benefits of improved care** are enormous, an estimated **£2.5 billion per year to the NHS** across the UK.The **NHS lacks capacity** to do this safely due to:\*Critical staffing shortages exacerbated by COVID-19\*Requirements to repeat the whole process for each person, for every change in health data, regularly throughout the year to capture any safety issues quickly**SOLUTION**This **_"Auto-Pharmacist"_** will continuously, automatically extract and rationalise multiple data sources including existing patient EHR records against up-to-date clinical guidelines, organising automated patient questionnaires, flag potential adverse side effects and further testing where required. This solution is an **opportunity to deliver population health delivered efficiently and effectively** whilst reducing medication-related harms.

**背景**每年超过 **40% 的英国人口服用 7.7 亿次常规药物**来管理和预防疾病，他们的全科医生 (GP) 肩负着确保他们服用正确药物的艰巨任务，** 15% 的人口定期服用超过 5 种药物，25% 的人口患有多种长期疾病。****问题**在过度紧张的卫生系统中，药物可能会...\***过度使用* *：在不必要的情况下，可能有害药物**应该** **停止**，因为副作用、相互作用或无效\***未充分使用**：重要的疾病预防药物**应该** **开始**两者都有健康对 NHS 的后果和成本影响是完全可以避免的。**当前实践**医生/药剂师应...1. 查阅大量医疗数据，其中信息“隐藏”在自由文本注释中。附加信息来自患者3.保持对每种药物和疾病不断变化的临床指南的最新了解4.识别潜在的副作用和禁忌症5.当治疗不起作用时升级治疗**需要**对所有患者进行定期审查，将将现有的、明确的指南付诸实践，将通过**持续的、临床的、针对每个患者的个性化决策**来识别这些错误。**改善护理的潜在好处**是巨大的，估计每年**25亿英镑这英国各地的 NHS**。**NHS 缺乏安全执行此操作的能力**，原因是：\*COVID-19 加剧了严重的人员短缺\*对于健康数据的每一次变化，都要求对每个人重复整个过程，全年定期快速捕获任何安全问题**解决方案**此 **_“自动药剂师”_** 将持续、自动提取和合理化多个数据源，包括针对最新临床的现有患者 EHR 记录指南，组织自动化患者该解决方案是一个**机会，可以有效地提供人口健康**，同时减少与药物相关的危害。