出院患者用药安全管理的最佳证据总结  

Best evidence summary for medication safety management for discharged patients

作　　者：李若雨 刘鑫 林萍 陈丹 林桦 LI Ruo-Yu;LIU Xin;LIN Ping;CHEN Dan;LIN Hua(Dept.of Nursing Administration,the First People’s Hospital of Nanning,Nanning 530022,China;School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,China)

机构地区：[1]广西医科大学第五附属医院护理部,广西南宁530022 [2]广西中医药大学护理学院,广西南宁530200

出　　处：《护理学报》2025年第3期50-55,共6页Journal of Nursing(China)

基　　金：广西科技厅重点研发计划项目(桂科AB22080079)。

摘　　要：目的系统检索、评价和总结出院患者用药安全的最佳证据,为指导出院患者用药安全提供循证依据。方法采用“6S金字塔”证据模型,系统检索计算机决策支持系统、指南网站、专业学会网站和数据库,文献类型涵盖指南和系统评价,检索时限为建库至2024年10月14日。由2名研究者对纳入文献进行质量评价,并对符合质量标准文献进行证据提取、汇总。结果纳入文献共16篇,包括指南6篇、系统评价10篇。最终汇总形成包括院内指导、出院过渡和院外监测3个方面共17条证据。结论医护人员应重视院内对患者开展用药安全指导的关键作用,加强多环节沟通,结合院外监测帮助患者建立完善的用药安全管理方案,提高出院用药安全性。Objective To systematically retrieve,appraise,and summarize the best evidence on medication safety for discharged patients,and to provide evidence-based reference for safe medication in this population.Methods The"6S Pyramid"evidence model was applied to systematically search decision support systems,guideline websites,professional society websites,and databases for guidelines and systematic reviews,with a search period spanning from the inception to October 14,2024.Two researchers independently assessed the quality of the included literature,and evidence was extracted and summarized from studies that met the quality criteria.Results A total of 16 studies were collected,including 6 clinical guidelines and 10 systematic reviews.Seventeen pieces of evidence were summarized and categorized into three primary domains:hospital-based medication safety guidance,discharge transition strategies,and post-discharge monitoring interventions.Conclusion Healthcare professionals should recognize the pivotal role of hospital-based medication safety interventions.Communication at various transitional stages and post-discharge monitoring should be considered to establish a comprehensive medication safety management program,thus to enhance medication safety among discharged patients.

关 键 词：出院患者 用药安全 药物管理 证据总结 循证护理 

分 类 号：C931.2[经济管理—管理学]