van Agtmael Michiel A, Mahomedradja Rashudy F
VU medisch centrum, afd. Interne Geneeskunde, Amsterdam.
Contact: M.A. van Agtmael (
Ned Tijdschr Geneeskd. 2018 May 14;162:D2855.
Almost half of medication-related hospital admissions are preventable. In the primary care setting structured medication reviews (SMRs) are an effective tool to detect and prevent medication errors that may cause harm to patients. Increasingly, SMRs are also being carried out in the clinical setting. SMRs are usually carried out by pharmacists who are well trained in pharmacology and in detecting medication errors. However, the implementation rate of the pharmaceutical interventions that result from SMRs is too low. We have introduced a multidisciplinary pharmacotherapy team of pharmacists and medical doctors into the clinic to carry out Medication review 2.0. The team performs SMRs to detect and prevent medication errors in hospital patients, improves the implementation rate of pharmaceutical interventions by enhancing transmural communication, and gives training and support to clinical prescribers in doing an SMR.
几乎一半与药物治疗相关的住院病例是可以预防的。在初级保健环境中，结构化药物评估（SMR）是一种有效的工具，可用于检测和预防可能对患者造成伤害的用药错误。越来越多的情况下，SMR也在临床环境中开展。SMR通常由在药理学和检测用药错误方面受过良好培训的药剂师进行。然而，由SMR产生的药物干预措施的实施率过低。我们已将一个由药剂师和医生组成的多学科药物治疗团队引入诊所，以开展药物评估2.0。该团队进行SMR以检测和预防住院患者的用药错误，通过加强跨科室沟通提高药物干预措施的实施率，并为临床开方者进行SMR提供培训和支持。
