Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Nursing, Technical, Rehabilitation, Assistance and Research Departement, IRCCS Istituti Fisioterapici Ospitalieri, IFO, Rome, Italy.
Public Health Nurs. 2022 Jul;39(4):876-897. doi: 10.1111/phn.13037. Epub 2021 Dec 30.
Many studies analyze the medication errors in the hospital setting, but the literature involving the home care setting seems scarce. The aim of this study is to identify the main risk factors that affect the genesis of medication errors and the possible solutions to reduce the phenomenon in the home care setting. This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The critical analysis of the literature shows that medication errors in home care occur mainly during transitional care. The main risk factors related to transitional care are poor interprofessional communication, lack of a standardized process for medication reconciliation, the widespread use of computerized tools, and the inadequate integration of the pharmacist into the care team. The strategies to reduce the risk of errors from therapy at home are the implementation of the pharmacist in the health team to ensure accurate medication reconciliation and the use of computerized tools to improve communication between professionals and to reduce the dispersion of information.
许多研究分析了医院环境中的用药错误，但涉及家庭护理环境的文献似乎很少。本研究旨在确定影响用药错误发生的主要风险因素，以及减少家庭护理环境中这种现象的可能解决方案。本系统评价是根据系统评价和荟萃分析的首选报告项目 (PRISMA) 声明进行的。文献的批判性分析表明，家庭护理中的用药错误主要发生在过渡护理期间。与过渡护理相关的主要风险因素是跨专业沟通不畅、缺乏标准化的药物调整流程、计算机化工具的广泛使用以及药剂师在护理团队中的整合不足。减少家庭治疗风险的策略是在医疗团队中实施药剂师，以确保准确的药物调整，并使用计算机化工具来改善专业人员之间的沟通，减少信息的分散。
