Byrne Corrine, Sierra Hannah, Tolhurst Rowan
Senior Clinical Pharmacist-Trauma, Emergency and Medicine, King's College Hospital NHS Foundation Trust, London.
Lead Pharmacist for Adult Cystic Fibrosis and Respiratory-Trauma, Emergency and Medicine, King's College Hospital NHS Foundation Trust, London.
Br J Nurs. 2017 Apr 27;26(8):464-467. doi: 10.12968/bjon.2017.26.8.464.
The safe supply of medicines is an integral part of being discharged from hospital. Locally, nurses are responsible for assembling medication for discharge prescriptions. Over a 2-year period 15 serious medication errors relating to discharge were reported on the health and ageing unit. This project was designed to evaluate whether a discharge medication checklist could reduce errors on nurse-assembled discharge prescriptions.
A baseline audit was conducted to identify the number of medication errors on nurse-assembled discharge prescriptions. After the audit period the discharge medication checklist was introduced and education and training was provided to nursing staff. There was a statistically significant reduction in the number of assembled discharge prescriptions with one or more errors (28/56 vs. 9/44; p=0.0478) when re-audited.
The introduction of a discharge medication checklist demonstrated a significant reduction in errors. The authors recommend that the discharge medication checklist and training programme be rolled out across medical wards to facilitate safe discharge.
药品的安全供应是患者出院的一个重要组成部分。在当地，护士负责整理出院处方的药物。在两年时间里，健康与老龄化科室报告了15起与出院相关的严重用药错误。本项目旨在评估出院用药清单是否能减少护士整理出院处方时的错误。
进行了一次基线审核，以确定护士整理出院处方时的用药错误数量。审核期结束后，引入了出院用药清单，并对护理人员进行了教育和培训。再次审核时，有一处或多处错误的整理出院处方数量有统计学意义的减少（28/56对9/44；p = 0.0478）。
出院用药清单的引入显著减少了错误。作者建议在各医疗科室推广出院用药清单和培训项目，以促进安全出院。
