Price D, Cooke J, Singleton S, Feely M
Br Med J (Clin Res Ed). 1986 Jan 11;292(6513):99-100. doi: 10.1136/bmj.292.6513.99.
We studied the accuracy of both hospital and general practitioners' records of current drug treatment in consecutive patients who attended a general medical review clinic. Either the hospital or the general practitioner's records (obtained in a questionnaire), or both, were inaccurate for over 70% of 59 patients interviewed with their medicine. Most of the errors were due to patients taking drugs in addition to those shown in their records. Some of these were inappropriate, and many seemed unnecessary. It appears that neither hospital doctors nor general practitioners are fully aware which drugs their patients are taking, and this may contribute to overprescribing. We believe that considerable financial savings might be made if patients brought all their medicines to every consultation.
我们研究了在一家普通内科复诊诊所就诊的连续患者中，医院记录和全科医生记录的当前药物治疗情况的准确性。在接受药物访谈的59名患者中，超过70%的患者的医院记录或全科医生记录（通过问卷调查获得），或两者都不准确。大多数错误是由于患者除了记录中显示的药物外还服用了其他药物。其中一些是不适当的，而且许多似乎是不必要的。看来医院医生和全科医生都没有完全意识到他们的患者正在服用哪些药物，这可能导致过度开药。我们认为，如果患者每次就诊时都带上所有药物，可能会节省大量资金。
