Burns J M, Sneddon I, Lovell M, McLean A, Martin B J
Lightburn Hospital, Glasgow.
Age Ageing. 1992 May;21(3):178-81. doi: 10.1093/ageing/21.3.178.
Fifty-six elderly patients (age range 65-98 years) discharged from a geriatric unit were visited at home on or after the 5th post-discharge day (median day 8) and their medication assessed. By the day of the visit, 15 of the 56 had not had a new prescription issued (27%) and 27 patients (48%) had old prescribed medication at home. Forty-one new scripts, issued by general practitioners, should have contained 128 medications if the general practitioners wished to continue unchanged the medication given on hospital discharge. Fourteen drugs (11%) had been added and 17 drugs (13%) omitted. The number of prescriptions issued unchanged was 26/41 (63%). Inaccurately labelled containers and/or changed drug names were found in 28%. Contrary to hospital advice, 47% of medications were issued in childproof containers. Poor communication between hospital and general practitioners is only part of the problem. Methods to expedite the delivery of new prescriptions should be developed.
对56名从老年病房出院的老年患者（年龄在65至98岁之间）在出院后第5天或之后（中位时间为第8天）进行了家访，并对他们的用药情况进行了评估。到家访当天，56名患者中有15人没有收到新处方（27%），27名患者（48%）家中有旧的处方药。如果全科医生希望维持出院时所开药物不变，那么全科医生开出的41份新处方应包含128种药物。新增了14种药物（11%），遗漏了17种药物（13%）。开出的处方未作变动的有26/41（63%）。发现28%的药瓶标签有误和/或药品名称有更改。与医院的建议相反，47%的药物装在儿童安全药瓶中。医院和全科医生之间沟通不畅只是问题的一部分。应制定加快新处方送达的方法。
