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首页> 外文期刊>Journal of gerontological nursing >Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Setting
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Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Setting

机译：在急性长期护理环境后药物和解期间识别潜在的药物差异

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摘要

Medication reconciliation has been an area with increased focus among transitions of care due to associations with error rates and risk of patient harm. Chart reviews were performed to evaluate the discrepancies between the initial physician order sheet (POS), hospital discharge summary, electronic health record (EHR), health information exchange (HIE), and the patient interview/home medication list. The objectives were to determine which medication information source provided the least number of discrepancies and describe the different types of discrepancies among sources. Of all orders, 30% contained a discrepancy. The average number of discrepancies per medication source per patient included: 5.6 for the hospital discharge summary, 7.6 for the EHR, and 9.6 for the home medication list/interview. The most frequent types of discrepancies included: omission of medication orders between lists (42.7%), additional medications not included on the initial POS (24.6%), and discrepancies in frequency (11.8%). The hospital discharge summary proved to be the medication source that provided the least number of discrepancies, compared to the initial POS.
机译：由于具有错误率和患者伤害风险的关联，药物和解一直是一个有关的关注转变的领域。图表审查进行了评估初始医生订单（POS），医院排放摘要，电子健康记录（EHR），健康信息交换（HIE）和患者访谈/家庭药物清单之间的差异。目标是确定哪些药物信息源提供了最少的差异并且描述了来源之间的不同类型的差异。在所有订单中，30％含有差异。每个患者的每种药物来源的平均差异数量：5.6用于医院排放摘要，7.6为EHR，7.6为家庭药物药物列表/访谈。包括最常见的差异类型：遗漏列表之间的药物订单（42.7％），初始POS（24.6％）的其他药物，以及频率差异（11.8％）。与初始POS相比，医院排放总结被证明是提供最少的差异数量的药物来源。

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