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改善患者用药管理的协调性:芬兰一个地区性的发展项目。

Improving the coordination of patients' medication management: a regional Finnish development project.

作者信息

Kivekäs Eija, Luukkonen Irmeli, Mykkänen Juha, Saranto Kaija

机构信息

Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland.

School of Computing, HIS R&D, University of Eastern Finland, Kuopio, Finland.

出版信息

Stud Health Technol Inform. 2014;201:175-80.

Abstract

In this paper, we present an overview of activities and results from a regional development project in Finland. The aim in this project was to analyze how healthcare providers produce and receive information on a patient's medication, and to identify opportunities to improve the quality, effectiveness, availability and collaboration of social and healthcare services in relation to medication information. The project focused on the most important points in patients' medication management such as home care and care transitions. In a regional development project, data was gathered by interviews and a multi professional workshop. The study revealed that medication information reached only some professionals and lay caregivers despite electronic patient record (EPR) systems and tools. Differences in work processes related to medication reconciliation and information management were discussed in the group meeting and were regarded as a considerable risk for patient safety.

摘要

在本文中,我们概述了芬兰一个区域发展项目的活动及成果。该项目旨在分析医疗服务提供者如何生成并接收有关患者用药的信息,并确定改善与用药信息相关的社会和医疗服务的质量、有效性、可及性及协作的机会。该项目聚焦于患者用药管理中的最重要环节,如居家护理和护理转接。在一个区域发展项目中,通过访谈和多专业研讨会收集了数据。研究表明,尽管有电子病历(EPR)系统和工具,但用药信息仅传达给了部分专业人员和非专业护理人员。小组会议讨论了与用药核对和信息管理相关的工作流程差异,这些差异被视为对患者安全的重大风险。

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