Atkin P A, Stringer R S, Duffy J B, Elion C, Ferraris C S, Misrachi S R, Shenfield G M
Department of Clinical Pharmacology, Royal North Shore Hospital, Sydney, NSW.
Med J Aust. 1998 Jul 20;169(2):85-8. doi: 10.5694/j.1326-5377.1998.tb140189.x.
To assess two interventions for improving the accuracy of doctors' information about their patients' medication.
A 12-month two-armed (parallel designed) prospective study among elderly patients of four general practitioners (GPs) in two local government areas of Sydney's North Shore.
206 elderly, ambulant, self-caring patients (69 men, 137 women; median age, 75 year; range, 60-94 years).
Patients were issued with a medication record card (MRC), filled in by their GPs with what they believed to be the patient's current medications, and were asked to produce it at all subsequent consultations. Patients of two of the GPs were additionally asked to bring their currently used medications to all scheduled appointments.
Accuracy of the MRC, determined by confirmatory home visits and inspection of medications by a pharmacist.
The proportion of patients with regimens recorded accurately on their MRCs improved significantly (from 25.9% to 42.0%) only in the group asked to bring their medications to consultations (P = 0.03). Most errors of recording were of omission, with patients taking a median of two medications (range, 0-10) of which their GPs were not aware.
Requesting that patients bring their medications to consultations, in conjunction with the use of medication record cards, can improve information for doctors about their patients' medications.
评估两种旨在提高医生掌握患者用药信息准确性的干预措施。
在悉尼北岸两个地方政府辖区的四位全科医生（GP）的老年患者中进行的一项为期12个月的双臂（平行设计）前瞻性研究。
206名老年、能走动、自我照料的患者（69名男性，137名女性；年龄中位数75岁；范围60 - 94岁）。
为患者发放一份用药记录卡（MRC），由其全科医生填写他们认为患者目前正在使用的药物，并要求患者在随后的所有会诊中出示该记录卡。另外，要求两位全科医生的患者在所有预约就诊时带上他们目前正在使用的药物。
通过上门核实及药剂师对药物的检查来确定用药记录卡的准确性。
只有在被要求带药就诊的组中，用药记录卡上准确记录用药方案的患者比例显著提高（从25.9%提高到42.0%）（P = 0.03）。大多数记录错误是遗漏，患者服用的药物中位数为两种（范围0 - 10种），而他们的全科医生并不知晓。
要求患者带药就诊，再结合使用用药记录卡，能够改善医生掌握的患者用药信息。
