Locca Jean-François, Niquille Anne, Krähenbühl Jean-Marc, Figueiredo Hugo, Bugnon Olivier
Unité de pharmacie communautaire, Section des sciences pharmaceutiques, Université de Genève, Pharmacie de la PMU, 1011 Lausanne.
Rev Med Suisse. 2009 Nov 25;5(227):2382-4, 2386-7.
The medical prescription is the end-result of a structured process. It is, in effect, a medicolegal document that binds the physician who writes it as well as the pharmacist who delivers it, with a civil duty of care that is protected by penal sanction. Moreover, prescriptions carry important costs, and can be the source of errors, especially where there are breakdowns in the continuity of patient care. These features underline the importance of the act of "prescribing", and the need for ways to improve its quality through increased efficiency and safety. The Swiss experience of physicians-pharmacists Quality Circles for drug prescription in the community and in the nursing homes, represent with the medication review, one method of safeguarding quality prescribing.
医学处方是一个结构化过程的最终结果。实际上，它是一份具有法医学意义的文件，约束着开具处方的医生以及配发药物的药剂师，赋予他们民事注意义务，并受到刑事制裁的保护。此外，处方会产生重大成本，并且可能是错误的源头，尤其是在患者护理连续性出现中断的情况下。这些特点凸显了“开处方”行为的重要性，以及通过提高效率和安全性来改善处方质量的必要性。瑞士在社区和养老院开展的医生 - 药剂师药物处方质量改进小组的经验，与用药评估一起，代表了一种保障高质量处方的方法。
