在急诊科高龄患者中，药物重整错误的严重程度。
Seriousness of medication reconciliation errors in patients of advanced age in the emergency department.
机构信息
Servicio de Farmacia, Hospital Universitario Ramón y Cajal, Madrid, España.
Servicio de Geriatría, Hospital Universitario Ramón y Cajal, Madrid, España.
出版信息
Emergencias. 2020 Jun;32(3):188-190.
OBJECTIVES
To analyze the seriousness of medication reconciliation errors (MREs) in the treatment of older patients admitted to an emergency department's acute geriatric unit. To identify and describe discrepancies, including the drug groups involved, and to explore risk factors.
MATERIAL AND METHODS
Prospective, observational 6-month study. A pharmacist recorded medications in each patient's history and compared the patient's usual treatment to the regimen prescribed in the emergency department; discrepancies were flagged for evaluation as possible MREs. A geriatric medicine specialist evaluated MRE seriousness.
RESULTS
Three hundred twenty-eight discrepancies were detected (93.8% of the total of 351 patients); 151 patients (43.02%) had at least 1 MRE. Three hundred MREs were identified, 248 (82.7%) reached the patient, and 27 (9%) caused reversible injury. No errors led to prolonged injury or death.
CONCLUSION
MREs were common but not serious, and the injuries caused were reversible.
目的
分析老年患者在急诊急性老年病房接受治疗时药物重整错误（MRE）的严重程度。识别并描述差异，包括涉及的药物类别，并探讨风险因素。
材料和方法
前瞻性、观察性的 6 个月研究。药剂师记录每位患者病史中的药物，并将患者的常规治疗与急诊科开出的治疗方案进行比较；对可能的 MRE 进行标记以供评估。老年医学专家评估 MRE 的严重程度。
结果
共发现 328 处差异（351 名患者总数的 93.8%）；151 名患者（43.02%）至少有 1 处 MRE。共确定了 300 处 MRE，其中 248 处（82.7%）到达了患者，27 处（9%）造成了可逆性损伤。没有错误导致持续损伤或死亡。
结论
MRE 很常见，但并不严重，造成的伤害是可逆的。
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