老年住院患者用药错误的干预与分析  

Analysis of medication errors and medication interventions in geriatric inpatients

作　　者：李月阳[1] 刘敏[1] 王红玉[1] 赵宏伟[1] LI Yueyang LIU Min WANG Hongyu ZHAO Hongwei(Department Of Pharmacy, First Hospital of Jilin University, Changchun 130021, China)

机构地区：[1]吉林大学第一医院药学部,吉林长春130021

出　　处：《药学实践杂志》2017年第2期187-190,共4页Journal of Pharmaceutical Practice

摘　　要：目的探讨临床药师在老年住院患者用药监护与用药错误干预中发挥的作用。方法对2015年5月至2016年4月的702例老年住院慢病患者进行住院期间的合理用药指导,并针对用药错误干预进行分析和总结。结果临床药师干预用药错误人数比例达41.32%,干预用药错误625次,经干预后用药正确人数比例提升到90.63%,所干预用药错误类型出现较多的依次是:用药时间/时机错误(36.64%)、患者不按规定用药(23.68%)和给药技术错误(14.56%)。结论临床药师在用药监护与干预用药错误的过程中可提出合理的用药建议和指导,减少用药错误,提高药物治疗效果。Objective To explore the role of clinical pharmacists in pharmaceutical care and medication errors prevention in geriatric inpatients. Methods 702 geriatric inpatients hospitalized from May 2015 to April 2016 were enrolled in this study. The patients received medication instruction and monitoring. Medication errors and intervention results were summarized and analyzed. Results Clinical pharmacist successfully made 625 interventions, which represented for 41.32% of all the cases collected. After intervention, the rate of corrections was increased up to 90.63 %. The top three medication errors were administration time/occasion errors （36.64%）, medication compliance errors （23.68%） and administration techniques errors （14.56%）. Conclusion Clinical pharmacists play an important role in medication error prevention through medication interventions. By providing rational drug use suggestions and directions, clinical pharmacists can reduce the medication error rate and improve the drug therapy effectiveness.

关 键 词：用药错误 用药干预 老年患者 临床药师 

分 类 号：R954[医药卫生—药学]