Gray Shelly L, Odegard Peggy S, Sales Anne E B, Young Heather M, Sullivan Jean H, Hedrick Susan C
Geriatric Pharmacy Program, School of Pharmacy, University of Washington, Seattle, WA 98195-7630, USA.
Ann Pharmacother. 2006 May;40(5):894-9. doi: 10.1345/aph.1G585. Epub 2006 Apr 25.
In community residential care (CRC) facilities, medication administration is often performed by unlicensed personnel with minimal knowledge in medication use. Medication management is one of the top 3 quality-of-care issues facing these facilities.
To examine the type of medication assistance residents received, determine the proportion of facilities that used pharmacy resources, and examine the quality of facility medication records in CRC facilities (eg, adult family homes, adult residential care, assisted living facilities).
Baseline in-person interviews were conducted with 349 residents and 299 facility providers in the Puget Sound region of Washington. Information was also obtained from facility medication records at enrollment and state databases. A pharmacist determined quality of the records using a standardized form.
The average resident was a 78-year-old white female taking 7 drugs. Medication records that were computer generated were significantly less likely to have misspelled names of drugs and errors in or absence of dose, directions for use, and route of administration. Overall, 26.3% of facilities reported that a consultant pharmacist reviewed residents' medication lists, 52.0% reported the use of preprinted lists, and 75.6% received prepackaged medications from the pharmacy. Adult family homes, the smallest facility type, were the least likely to use pharmacy-related services.
The quality of handwritten medication records was a concern in CRC facilities. These facilities may benefit from services offered by pharmacies that may enhance medication management, many of which were underutilized.
在社区寄宿护理（CRC）机构中，药物管理通常由未经许可且药物使用知识有限的人员进行。药物管理是这些机构面临的三大护理质量问题之一。
研究居民接受的药物协助类型，确定使用药房资源的机构比例，并检查CRC机构（如成人家庭住宅、成人寄宿护理、辅助生活设施）中机构药物记录的质量。
对华盛顿普吉特海湾地区的349名居民和299名机构提供者进行了基线面对面访谈。还从入组时的机构药物记录和州数据库中获取了信息。一名药剂师使用标准化表格确定记录的质量。
居民平均年龄为78岁，是一名服用7种药物的白人女性。计算机生成的药物记录出现药物名称拼写错误以及剂量、用法说明和给药途径方面错误或缺失的可能性显著降低。总体而言，26.3%的机构报告称有顾问药剂师审查居民的药物清单，52.0%的机构报告使用了预印清单，75.6%的机构从药房收到了预包装药物。成人家庭住宅是最小的机构类型，最不可能使用与药房相关的服务。
手写药物记录的质量在CRC机构中令人担忧。这些机构可能会从药房提供的可加强药物管理的服务中受益，其中许多服务未得到充分利用。
