A COMPARISON OF PATIENT DRUG REGIMENS AS VIEWED BY THE PHYSICIAN, PHARMACIST AND PATIENT
A COMPARISON OF PATIENT DRUG REGIMENS AS VIEWED BY THE PHYSICIAN, PHARMACIST AND PATIENT
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DOI：
10.1097/00005650-198106000-00008
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发表时间：
1981-01-01
期刊：
影响因子：
3
通讯作者：
CLARK, H
中科院分区：
文献类型：
--
作者：
LEISTER, KA;EDWARDS, WAD;CLARK, H
本研究旨在确定门诊患者订购和收到的药物记录的完整性和一致性。地点是一家大型门诊医疗机构，是一家大型多专科医院的一部分。结果发现，当前药物订单清单（由医生准备）和当前消耗处方药清单（根据药房药物资料准备）均与 26 名研究患者实际消耗的 107 种处方药清单的吻合度为 73%。根据药物名称、强度和使用说明对列表进行比较。此外，医生和药房名单在 70% 的情况下相互关联，这表明同一环境中的药品记录存在很大程度的不一致和不完整。在另一项涉及医学图表药物符号和药房药物简介的比较中，39% 的案例中药物名称、强度和使用说明完全匹配，而药物名称匹配的情况仅占 64%。出院药物记录和门诊药物档案记录之间的一致性最高。根据这项研究的结果，认为此类环境下的药品记录一致且完整的普遍假设似乎没有根据。
This study sought to determine the completeness and congruence of records for drugs ordered and received by outpatients. The setting was a large outpatient medical facility that was part of a large multispecialty hospital. It was found that a listing of current drug orders (prepared by physicians) and a listing of current prescription drugs consumed (prepared from pharmacy drug profiles) each agreed 73 per cent of the time with a list of 107 prescription drugs actually consumed by 26 study patients. Lists were compared based on drug name, strength and directions for use. Further, the physician and pharmacy lists correlated with one another 70 per cent of the time, indicating a substantial degree of inconsistent as well as incomplete drug records within the same setting. In another comparison involving medical chart drug notations and pharmacy drug profiles, a complete match or drug name, strength and directions for use occurred in 39 per cent of the cases, while a match on drug name only occurred 64 per cent of the time. The highest degree of congruence occurred between hospital discharge medication notes and outpatient drug profile records. Based on the results of this study, the common assumption that drug records in such settings are congruent and complete appears unwarranted.