Shenoy Anant M, Bennett Amy, Segal Alan Z
Continuum (Minneap Minn). 2019 Apr;25(2):543-549. doi: 10.1212/CON.0000000000000706.
Medication errors occur despite best intentions and are often the result of medication discrepancies. Medication reconciliation reduces the likelihood of errors by addressing medication discrepancies that result from multiple points of care, transitions in care, or patient report. Providers and practices may feel overwhelmed by new record systems and regulatory requirements, but multiple resources are available to assist providers to perform medication reconciliation with their patients. Providers and practices should implement medication reconciliation strategies, such as adoption of a multidisciplinary approach, engagement of patients to track medications, and identification of patients who are at high risk for medication list discrepancies and errors. Medication reconciliation will ultimately improve quality of care.
尽管医护人员已尽最大努力,但用药错误仍时有发生,且往往是用药差异导致的结果。用药核对通过解决因多环节医疗护理、护理转接或患者报告而产生的用药差异,降低了错误发生的可能性。医疗服务提供者和医疗机构可能会因新的记录系统和监管要求而应接不暇,但有多种资源可帮助医疗服务提供者与患者进行用药核对。医疗服务提供者和医疗机构应实施用药核对策略,例如采用多学科方法、让患者参与药物追踪,以及识别用药清单存在差异和错误高风险的患者。用药核对最终将提高医疗质量。