Senderovitz T, Christophersen A B, Christensen H R, Kampmann J P
H:S Bispebjerg Hospital, Klinisk Farmakologisk Enhed.
Ugeskr Laeger. 1998 Jun 29;160(27):4055-8.
This study was performed to investigate the possible differences between prescribed medicine, as entered in the hospital record, and the medicine dispensed to the patients according to the nurse's dispensing records (NDR's) in two clinical departments at a Copenhagen University Hospital. Discrepancies were defined as either dosage differences or drugs only present in one file, and were divided into major and minor discrepancies, according to clinical significance. In the first department, discrepancies were found in 61.4% of the records, and major discrepancies were found in 35.1%. In the second department, discrepancies were found in 70.5% of the cases, and major discrepancies in 42.5%. No correlation was found between the number of drugs per patient and the number of discrepancies. A significant difference exists between what is prescribed, and what is dispensed. This can have clinical as well as legal consequences.
本研究旨在调查哥本哈根大学医院两个临床科室中，医院记录里录入的处方药物与护士配药记录（NDR）中发放给患者的药物之间可能存在的差异。差异被定义为剂量差异或仅在一个记录文件中出现的药物，并根据临床意义分为主要差异和次要差异。在第一个科室，61.4%的记录中发现了差异，35.1%的记录中发现了主要差异。在第二个科室，70.5%的病例中发现了差异，42.5%的病例中发现了主要差异。未发现每位患者的药物数量与差异数量之间存在相关性。处方药物与发放药物之间存在显著差异。这可能会产生临床和法律后果。
