Montpetit L M, Roy M T
Pharmacy Service, Ottawa General Hospital, Ontario, Canada.
Drug Intell Clin Pharm. 1988 Dec;22(12):964-9. doi: 10.1177/106002808802201206.
Medication histories are considered an essential component of clinical pharmacy practice, but they are time-consuming. A study was undertaken to determine how reliable and time-saving a patient-completed medication history form alone could prove to be compared with the amount of information recorded in the medical chart and with a pharmacist-patient form review. Within 24 hours of admission, the patient was given the form to fill out. The pharmacist returned 24 hours later and reviewed the form with the patient. Of 13 questions asked, the form was significantly superior in obtaining information to the chart in 11 and to the review in 6 (p less than 0.05 per question). The review rated better than the chart on all questions (p less than 0.05 per question). The amount of time required to hand out and review the form (mean 7.35 min) was not significantly different from the time required of a pharmacist to conduct a conventional medication history, according to the Canada Workload Measurement Study statistics. It can therefore be concluded that the patient-completed form is not an effective or time-saving method of conducting a medication history.
用药史被视为临床药学实践的重要组成部分，但获取用药史耗时费力。开展了一项研究，以确定仅由患者填写的用药史表格与病历中记录的信息量以及药剂师与患者一起审核表格相比，在可靠性和节省时间方面如何。入院后24小时内，给患者发放表格填写。24小时后药剂师返回与患者一起审核表格。在问到的13个问题中，该表格在获取信息方面显著优于病历，在11个问题上优于审核（每个问题p值小于0.05）。审核在所有问题上的评分均优于病历（每个问题p值小于0.05）。根据加拿大工作量测量研究统计数据，发放和审核表格所需的时间（平均7.35分钟）与药剂师进行传统用药史所需的时间没有显著差异。因此可以得出结论，由患者填写的表格不是获取用药史的有效或节省时间的方法。
