Section of General Internal Medicine, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA.
J Am Med Inform Assoc. 2014 Feb;21(e1):e157-62. doi: 10.1136/amiajnl-2013-001995. Epub 2013 Sep 13.
Few ambulatory medication reconciliation tools exist. Transitions between inpatient and outpatient care can result in medication discrepancies. An interdisciplinary team designed a new 'Secure Messaging for Medication Reconciliation Tool' (SMMRT) within a patient web portal and piloted it among 60 patients at a Veterans Affairs hospital, an integrated system with a shared electronic health record. Recently discharged patients used SMMRT to view their medications in a secure email message and replied using SMMRT's interactive form, verifying their medication regimens and clarifying any inaccuracies. In total, 108 medication discrepancies and 23 potential adverse drug events (ADEs) were seen. Nearly 50% of the potential ADEs were classified as serious. Overall, participants were enthusiastic about SMMRT; 90% said they would use SMMRT again. Enabling patients to conduct medication reconciliation through a web portal is feasible in the transition from inpatient to outpatient care and may improve medication safety.
目前可用的门诊药物重整工具较少。住院和门诊治疗之间的转换可能导致药物差异。一个跨学科的团队在一个患者门户网站内设计了一个新的“药物重整安全信息传递工具”（Secure Messaging for Medication Reconciliation Tool，SMMRT），并在退伍军人事务部医院的 60 名患者中对其进行了试点，该医院是一个具有共享电子健康记录的综合系统。最近出院的患者使用 SMMRT 在安全电子邮件中查看他们的药物，并使用 SMMRT 的交互式表格回复，以验证他们的药物治疗方案并澄清任何不准确之处。总共发现了 108 种药物差异和 23 种潜在的药物不良事件（Adverse Drug Event，ADE）。近 50%的潜在 ADE 被归类为严重。总的来说，参与者对 SMMRT 非常感兴趣；90%的人表示他们会再次使用 SMMRT。通过门户网站使患者能够进行药物重整，在从住院到门诊的治疗过渡中是可行的，并且可能提高药物安全性。
