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[从医院药剂师角度看用药错误与用药核对]

[Medication errors and medication reconciliation from a hospital pharmacist's perspective].

作者信息

Amann Steffen, Kantelhardt Pamela

机构信息

Städt. Klinikum München GmbH, Krankenhausapotheke Schwabing, München.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2012;106(10):717-22. doi: 10.1016/j.zefq.2012.11.015. Epub 2012 Nov 22.

Abstract

To reduce medication errors and other drug-related problems, their systematic discovery, documentation and evaluation is essential. The web-based documentation database ADKA-DokuPIK enables both the documentation and the publication of annotated individual cases and, moreover, systematic errors or accumulations of risk drugs may be determined. Medication reconciliation is another important component to increase safety in drug therapy. Hospital pharmacists may support and significantly improve this process. In Germany some initial information from various projects is available. Medication reconciliation performed by hospital pharmacists may significantly increase the completeness and accuracy of medication regimens. Patient counselling together with the necessary drug supply at discharge improves patients' knowledge, closes supply gaps and improves the satisfaction of all parties.

摘要

为减少用药错误及其他与药物相关的问题,对其进行系统的发现、记录和评估至关重要。基于网络的文档数据库ADKA - DokuPIK既能够记录和发布带注释的个案,还能够确定系统性错误或风险药物的累积情况。用药核对是提高药物治疗安全性的另一个重要组成部分。医院药剂师可以支持并显著改善这一过程。在德国,已有来自多个项目的一些初步信息。由医院药剂师进行的用药核对可显著提高用药方案的完整性和准确性。出院时的患者咨询以及必要的药物供应可提高患者的认知水平,填补供应缺口并提高各方满意度。

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