Schneider Philip J
Latiolais Leadership Program, College of Pharmacy, The Ohio State University, Columbus, OH 43210, USA.
Am J Health Syst Pharm. 2007 Jul 15;64(14 Suppl 9):S10-6; quiz S24-6. doi: 10.2146/ajhp070188.
To summarize key points from the most recent Institute of Medicine (IOM) report, Preventing Medication Errors, and their relevance to health-system pharmacists.
Creating a culture of safety is an important antecedent to making changes needed to reduce medication errors. The patient can play an important, but often unrealized, role in preventing medication errors. There are considerable opportunities to improve the application of technology to prevent medication errors. The National Hospital Pharmacy surveys conducted ty the American Society of Health- System Pharmacists have demonstrated the slow rate of adoption of technologies. Pharmacists can play a leadership role in improving both the patients' role and the use of technology to improve medication-use safety.
There are major opportunities for pharmacists to re-think how involved patients are in their care in the institutional setting, by seeing patients as building another check into the medication-use system and by recommitting ourselves to getting patients involved. There are also opportunities to help with patient-safety technology decisions. These extremely expensive technologies almost always involve people changing what they do and their implementation and use often involve other people besides pharmacists, yet the potential is great for new technologies to reduce medication errors.
总结美国医学研究所（IOM）最新报告《预防用药错误》中的要点及其与医疗系统药剂师的相关性。
营造安全文化是进行必要变革以减少用药错误的重要前提。患者在预防用药错误方面可发挥重要但常未得到充分认识的作用。在利用技术预防用药错误方面有相当大的改进空间。美国卫生系统药师协会开展的全国医院药房调查显示技术采用率较低。药剂师可在改善患者作用和利用技术提高用药安全方面发挥领导作用。
药剂师有重大机会重新思考患者在机构环境中参与自身护理的程度，将患者视为用药系统中的另一重检查，并再次致力于让患者参与进来。还有机会协助做出患者安全技术决策。这些极其昂贵的技术几乎总是涉及人们改变行为方式，其实施和使用往往涉及药剂师以外的其他人，但新技术减少用药错误的潜力巨大。
