College of Nursing,Washington State University, Spokane, WA, USA.
Geriatr Nurs. 2010 May-Jun;31(3):188-96. doi: 10.1016/j.gerinurse.2010.03.006.
Care transitions are clinically dangerous times, particularly for older adults with complex health problems. This article describes the most common medication discrepancies identified by nurses during patients' (n = 101) hospital to home transition. Findings indicated that medication discrepancies were astoundingly widespread, with 94% of the participants having at least 1 discrepancy. The average number of medication discrepancies identified was 3.3 per participant. Medication discrepancies were identified in virtually all classes of medications, including those with high safety risks. Evidence-based best practices to reduce transition-related medication discrepancies are presented.
患者（n=101）从医院到家中的过渡期间，护士发现了最常见的药物差异，这一时期存在临床风险，尤其是对有复杂健康问题的老年人而言。研究结果表明，药物差异非常普遍，94%的参与者至少有 1 种差异。平均每个参与者发现的药物差异数量为 3.3 个。药物差异几乎出现在所有类别的药物中，包括那些具有高安全风险的药物。本文提出了减少与过渡相关的药物差异的循证最佳实践。
