Keys P W
Am J Hosp Pharm. 1981 Oct;38(10):1533-4.
The concept of a combined drug-use-review (DUR) and risk-management program is discussed. Traditionally, hospital quality-assurance efforts addressed issues of patient care while risk management dealt with hospital liability by ensuring patients' custodial safety. Because most malpractice claims result from negligence in patient care, an integrated approach to quality assurance and risk management is appropriate. One of the first steps in improving patient care and reducing hospital liability is prevention of avoidable, medically related patient injuries. Studies show that many medical injuries are related to drug exposure. Concurrent comparison of medication orders and administration with selected process criteria could provide early detection and prevention of many drug-related episodes.
本文讨论了联合用药审查（DUR）和风险管理计划的概念。传统上，医院的质量保证工作关注患者护理问题，而风险管理则通过确保患者的监护安全来处理医院责任。由于大多数医疗事故索赔源于患者护理中的疏忽，因此采用综合的质量保证和风险管理方法是合适的。改善患者护理和减少医院责任的首要步骤之一是预防可避免的、与医疗相关的患者伤害。研究表明，许多医疗伤害与药物暴露有关。将用药医嘱和用药情况与选定的流程标准进行同步比较，可以早期发现并预防许多与药物相关的事件。
