关注确保患者用药安全的3个关键领域  

Pay attention to the 3 key areas to ensure patient medication safety

作　　者：林志强[1] Lin Zhiqiang(Department of Pharmacy,the First Hospital of Quanzhou Affiliated to Fujian Medical University,Fujian Province,Quanzhou 362002,China)

机构地区：[1]福建医科大学附属泉州第一医院药剂科,泉州362002

出　　处：《药物不良反应杂志》2024年第9期519-523,共5页Adverse Drug Reactions Journal

摘　　要：不安全用药和用药错误是导致医疗卫生系统中可避免伤害最主要的原因。为减少药物相关伤害, 需关注高风险情况下、多药治疗时和医疗照护过渡时3个关键领域的用药安全。导致高风险情况的主要因素包括药品(高警示药品)、人(供药者和患者)及环境(药品管理、治疗环境和人力资源等)。加强多药管理可促进药物的合理使用, 将药物相关伤害降至最低。减少医疗照护过渡中发生的用药错误和/或药物不良事件需要多方协作, 包括医师、药师和护士等跨学科团队以及患者和家属的积极参与。与发达国家相比, 我国在这3个领域中尚有很大差距, 需要医师、药师和护士积极行动起来, 共同努力, 以保证患者的用药安全。Unsafe medication and medication errors are the main causes of avoidable harm in the health system.In order to reduce drug-related harm,it is necessary to pay special attention to medication safety in high-risk situations,medication safety during polypharmacy,and medication safety during the transitions of medical care.The main factors leading to high-risk situations include drugs(high-alert drugs),human(drug provider and patient),and environment(drug management,treatment environment and human resources,etc.).Strengthening management for polypharmacy can promote the rational use of drugs and minimize drug-related harm.Reducing medication errors and/or adverse drug events in transitions of care requires collaboration from multiple parties,including interdisciplinary care teams such as physicians,pharmacists,and nurses,as well as active participation from patients and their families.Compared with developed countries,there is still a significant gap in the 3 areas in China,and physicians,pharmacists,and nurses need to take active actions and make joint efforts to ensure the medication safety of patients.

关 键 词：多重用药 医疗照护过渡 用药安全 高警示药物 

分 类 号：R95[医药卫生—药学]