Myers Brooke, Mitchell Charles, Whitty Jenny A, Donovan Peter, Coombes Ian
Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
School of Pharmacy, University of Queensland, Brisbane, Queensland, Australia.
Intern Med J. 2017 Apr;47(4):454-457. doi: 10.1111/imj.13280.
Gaps in communication between medical officers and poor planning are associated with prescribing errors and may result in patient harm. This study describes medication communication on post-take ward rounds (PTWR). Over 6 weeks on 24 PTWR, 130 patients, prescribed 1244 medications, were observed. Of these, 811 (65%) medications were discussed, with 249 discussions (relating to 126 medications) being 'in-depth'. Of 191 planned medication-related actions, 38 (20%) were not implemented by the end of the PTWR and 21 (11%) by time of discharge from hospital. This study suggests that the level of medication communication and subsequent actions are suboptimal. Processes to improve this situation should be explored.
医务人员之间沟通的差距和规划不善与处方错误有关，可能会对患者造成伤害。本研究描述了查房后病房（PTWR）的用药沟通情况。在24次查房后病房工作的6周时间里，观察了130名患者，他们共被开出1244种药物。其中，811种（65%）药物进行了讨论，249次讨论（涉及126种药物）属于“深入讨论”。在191项计划的用药相关行动中，38项（20%）在查房后病房工作结束时未实施，21项（11%）在出院时仍未实施。本研究表明，用药沟通水平和后续行动并不理想。应探索改善这种情况的流程。
