頁籤選單縮合
題名 | 藥歷整合提升病人多重用藥安全=By Implementing of Medication Reconciliation to Improve the Medication Safety of Patients with Polypharmacy Issues |
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作 者 | 邱彥榕; 吳大圩; 林冠伶; 黃碧蕙; | 書刊名 | 藥學雜誌 |
卷期 | 32:1=126 2016.03[民105.03] |
頁次 | 頁134-139 |
分類號 | 418.81 |
關鍵詞 | 多重用藥; 藥歷整合; Polypharmacy; Medication reconciliation; |
語文 | 中文(Chinese) |
中文摘要 | 台灣醫療分科詳細,除了提供更專業的醫療服務外,也造成同時有多種急、慢 性疾病病人須多科或多院就診的現象,由此導致的多重用藥 (polypharmacy) 問題是用 藥安全的一大隱憂。因此,本院除提供主動臨櫃或電聯之民眾藥歷整合 (medication reconciliation) 服務外,更特別於藥局處方聯上標示出多重用藥高風險者,領藥後即 轉介至藥品諮詢台進行整合。本院在近14個月間共完成236筆用藥整合,其中以整合 門診用藥與其他正在用藥最多 (72.03%,170筆),大多利用院內自行開發之『尚在用 藥系統』進行整合 (59.19%,161筆);總共提供484項藥歷整合服務,其中以檢查藥 物-藥物/藥物-食品交互作用最多 (37.19%,180筆),並發現12筆用藥差異 (medication discrepancies) 尋求醫師再確認。整合後當下確認民眾認知皆為100%了解,後續電話 追蹤病人整合後用藥狀況,大多數在整合後已無用藥問題 (94.57%,209筆)。希望透 過藥師再次把關,落實藥歷整合而確實提升民眾用藥安全。 |
英文摘要 | Medical practices in Taiwan are divided into different specialities in order to provide more professional medical services. Patients suffering from acute and chronic diseases concomitantly need to visit different specialty doctors or clinics. Consequently, the generated issues lead to a potential risk in medication safety. Therefore, pharmacists in our hospital provided not only with medication reconciliation for people who consulted voluntarily but also referred patients who had high risks of polypharmacy to drug information counter for further reconciliation. During 14 months, we provided with 236 services of medication reconciliation. Total 72.03% of such services, i.e. 170 cases, were for those patients taking medicines prescribed both from outpatient department and other specialty doctors simultaneously. The tool we used mostly (59.19%, i.e. 161 cases) to achieve medication reconciliation was "present medication system" which developed by Department of Informatics in our hospital. There were also 12 medication discrepancies which should be confirmed with doctors. After reconciliation, all patients could totally understand the contents educated by pharmacists. At the phone tracking follow-up, most people (94.57%, i.e. 209 cases) have no medication problems in using their medicines. By implementing such a practice of medication reconciliation from pharmacists, patient medication safety will be improved. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。