Jaehde Ulrich, Thürmann Petra A
Pharmazeutisches Institut, Klinische Pharmazie, Rheinische Friedrich-Wilhelm-Universität Bonn, Bonn.
Z Evid Fortbild Qual Gesundhwes. 2012;106(10):712-6. doi: 10.1016/j.zefq.2012.10.021. Epub 2012 Nov 20.
Multimorbidity, polymedication and functional impairment together with diminished everyday competence and communication ability predispose nursing home residents to adverse drug events (ADE). The high number of psychiatric drug prescriptions is a characteristic feature. The project "Medication Safety in Nursing Homes", funded by the Federal Ministry of Health, found an incidence of approximately 8 ADEs per 100 nursing home resident-months. About one third of the ADEs had clinical consequences, notably hospital admissions and additional visits of general practitioners. Many ADEs are due to errors in the medication process, coupled with the effects of poor communication among health care professionals. Thus, structured interventions are intended to not only sensitize to these problems, but also to support and foster a multidisciplinary way of thinking and acting.
多种疾病共存、多种药物治疗、功能障碍以及日常能力和沟通能力下降，使养老院居民易发生药物不良事件（ADE）。精神科药物处方数量众多是一个典型特征。由联邦卫生部资助的“养老院用药安全”项目发现，每100个养老院居民月中约有8起ADE事件发生。约三分之一的ADE事件产生了临床后果，尤其是住院治疗和全科医生的额外诊疗。许多ADE事件是由于用药过程中的错误，再加上医护人员之间沟通不畅的影响。因此，结构化干预措施不仅旨在提高对这些问题的认识，还旨在支持和促进多学科的思维和行动方式。
