Beveridge T, Petrie J C
Br Med J. 1972 Apr 1;2(5804):37-9. doi: 10.1136/bmj.2.5804.37.
The efficiency of the transfer of information among doctors about current drug therapy was examined in emergency, waiting list, and outpatients. Communication about the patient's recent medical history was established with the practitioner in 551 of 559 patients referred (99%). Four hundred and ninety-eight patients (89%) were currently taking 1,557 drugs either supplied by prescription or taken as self-medication. In 314 patients (56%) some information was supplied by the practitioner about 555 drugs (36%). Six hundred and thirteen (61%) of the 1,002 drugs not mentioned by the practitioner were drugs supplied by prescription, mainly hypnotics, sedatives, and analgesics. The transfer of information was unsatisfactory about drugs taken as self-medication and about the allergic status of patients.If iatrogenic disease due to drug therapy is to be recognized or prevented the communication of information about drugs must be improved.
我们在急诊、候诊名单及门诊患者中,研究了医生之间关于当前药物治疗的信息传递效率。在559例转诊患者中,有551例(99%)与医生建立了关于患者近期病史的沟通。498例患者(89%)目前正在服用1557种通过处方供应或自行服用的药物。在314例患者(56%)中,医生提供了关于555种药物(36%)的一些信息。医生未提及的1002种药物中,有613种(61%)是通过处方供应的药物,主要是催眠药、镇静药和镇痛药。关于患者自行服用的药物以及过敏状态的信息传递情况并不理想。如果要识别或预防药物治疗引起的医源性疾病,就必须改善关于药物的信息沟通。