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首页> 外文期刊>Drugs - Real World Outcomes >Medication Discrepancies in Discharge Summaries and Associated Risk Factors for Elderly Patients with Many Drugs
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Medication Discrepancies in Discharge Summaries and Associated Risk Factors for Elderly Patients with Many Drugs

机译：诸多毒品的老年患者的排放摘要和相关危险因素的药物差异

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Background and ObjectiveElderly patients are at high risk for medication errors in care transitions. The discharge summary aims to counteract drug-related problems due to insufficient information transfer in care transitions, hence the accuracy of its medication information is of utmost importance. The purpose of this study was to describe the medication discrepancy rate and associated risk factors in discharge summaries for elderly patients.MethodsPharmacists collected random samples of discharge summaries from ten hospitals in southern Sweden. Medication discrepancies, organisational, and patient- and care-specific factors were noted. Patients aged ≥?75?years with five or more drugs were further included. Descriptive and logistic regression analyses were performed.ResultsDischarge summaries for a total of 933 patients were included. Average age was 83.1?years, and 515 patients (55%) were women. Medication discrepancies were noted for 353 patients (38%) (mean 0.87 discrepancies per discharged patient, 95%?confidence interval 0.76–0.98). Unintentional addition of a drug was the most common discrepancy type. Central nervous system drugs/analgesics were most commonly affected. Major risk factors for the presence of discrepancies were multi-dose drug dispensing (adjusted odds ratio 3.42, 95% confidence interval 2.48–4.74), an increasing number of drugs in the discharge summary (adjusted odds ratio 1.09, 95% confidence interval 1.05–1.13) and discharge from departments of surgery (adjusted odds ratio 2.96, 95% confidence interval 1.55–5.66). By contrast, an increasing number of drug changes reduced the odds of a discrepancy (adjusted odds ratio 0.93, 95% confidence interval 0.88–0.99).ConclusionsMedication discrepancies were common. In addition, we identified certain circumstances in which greater vigilance may be of considerable value for increased medication safety for elderly patients in care transitions.
机译：背景和客观的患者在护理过渡中的药物误差处于高风险。出院摘要旨在抵消由于护理过渡的信息转移不足而导致的药物相关问题，因此其药物信息的准确性至关重要。本研究的目的是描述老年患者的出院摘要中的药物差异率和相关危险因素.HERTODSPHARMACISTS从瑞典南部的十家医院收集随机排放摘要样本。提出了药物差异，组织和患者和护理特定因素。 ≥75岁的患者进一步包含五种或更多种药物。进行了描述性和逻辑回归分析。包括总共933名患者的摘要。平均年龄为83.1？岁月和515名患者（55％）是女性。 353名患者（38％）注意到药物差异（平均每次排放患者差异，95％？置信区间0.76-0.98）。无意添加药物是最常见的差异类型。中枢神经系统药物/镇痛药最常受到影响。存在差异存在的主要风险因素是多剂量药物分配（调整的差距3.42,95％置信区间2.48-4.74），在排放概要中越来越多的药物（调整的赔率比1.09,95％置信区间1.05- 1.13）和从手术部排出（调整的赔率比2.96,95％置信区间1.55-5.66）。相比之下，越来越多的药物变化降低了差异的几率（调整后的差率为0.93,95％置信区间0.88-0.99）.Conclusionsmitication差异是常见的。此外，我们确定了某种情况，其中更大的警惕可能具有相当大的价值，以增加治疗过渡的老年患者的药物安全性。

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