Hughes Erika, Hegarty Paul, Mahon Andrew
BMJ Qual Improv Rep. 2012 Dec 18;1(1). doi: 10.1136/bmjquality.u200373.w323. eCollection 2012.
During a routine audit it was noted that the surgical wards were consistently underperforming in their rate of medicines reconciliation in comparison to other specialities. The process of medication reconciliation is usually performed by junior doctors during the admission process and can be a complex task which is usually undertaken in the midst of several other jobs. The aim of this project was to review this process and identify methods of improving patient safety. This led to the design of a surgical admissions proforma which incorporated a 'medications on admission' section, to be used for reconciliation. Over a six month period from its introduction into a pilot ward it was noted to improve medication reconciliation from 60% to 85%. The benefits were discussed with members of the trust and a standardised version of the admissions proforma has since been rolled out to all hospitals within the trust.
在一次常规审计中发现，与其他专科相比，外科病房在用药核对率方面一直表现不佳。用药核对过程通常由初级医生在入院过程中进行，这可能是一项复杂的任务，通常要在同时处理其他多项工作的情况下完成。该项目的目的是审查这一过程，并确定提高患者安全的方法。这导致设计了一种外科入院表格，其中纳入了一个“入院用药”部分，用于核对。从引入试点病房开始的六个月期间，发现用药核对率从60%提高到了85%。与信托机构的成员讨论了这些益处，此后该入院表格的标准化版本已推广到信托机构内的所有医院。
