Medication report reduces number of medication errors when elderly patients are discharged from hospital
Medication report reduces number of medication errors when elderly patients are discharged from hospital
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DOI：
10.1007/s11096-007-9149-4
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发表时间：
2008-01-01
影响因子：
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通讯作者：
Hoglund, Peter
中科院分区：
文献类型：
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作者：
Midlov, Patrik;Holmdahl, Lydia;Hoglund, Peter
目的探讨出院用药报告单能否减少老年患者出院时的用药差错。方法：我们对瑞典隆德大学医院三个科室的转移到初级保健的患者进行了前瞻性干预和回顾性对照。干预组患者在出院时收到药物报告，对照组患者年龄相同，一年前从同一病房出院时未收到药物报告。主要结果指标主要结果指标是老年患者出院时的用药错误数量。结果干预组248例患者中有79例（32%）至少发生一次用药错误，对照组179例患者中有118例（66%）至少发生一次用药错误。在干预组中，15%的患者发生了被认为具有中度或高度临床后果风险的错误，而对照组为32%。差异有统计学意义（P < 0.001）。结论老年患者出院时用药差错较为常见。用药报告是一个简单的工具，可以减少用药错误的数量。
Objective To investigate whether a Medication Report can reduce the number of medication errors when elderly patients are discharged from hospital. Method We conducted a prospective intervention with retrospective controls on patients at three departments at Lund University Hospital, Sweden that where transferred to primary care. The intervention group, where patients received a Medication Report at discharge, was compared with a control group with patients of the same age, who were not given a Medication Report when discharged from the same ward one year earlier. Main outcome measures The main outcome measure was the number of medication errors when elderly patients were discharged from hospital. Results Among 248 patients in the intervention group 79 (32%) had at least one medication error as compared with 118 (66%) among the 179 patients in the control group. In the intervention group 15% of the patients had errors that were considered to have moderate or high risk of clinical consequences compared with 32% in the control group. The differences were statistically significant (P < 0.001). Conclusion Medication errors are common when elderly patients are discharged from hospital. The Medication Report is a simple tool that reduces the number of medication errors.