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背景用药错误的研究主要集中在医院内。本文旨在研究社区医疗中的用药错误,调查引起用药错误的主要原因并提出相关的解决办法。方法 2013年9月—2014年11月,使用重要性排列法对用药错误存在问题及解决办法进行确定和分级。500位来自伦敦西北部的社区医师参加了开放式问卷调查,回收有效问卷113份,存在问题有48个,相关解决办法有45种。从500位社区医师中随机抽选57位,对存在问题及解决办法进行评分,并根据评分情况,列出用药错误存在问题及解决办法的重要性级别表。结果前3个存在问题是:给患者开药的不同的医生在用药方面的看法不完全一致性,不适当的用药指导以及质量较差的出院总结。前3个解决办法是:设计标准的出院总结模板,减少不必要的处方以及最大限度的减少多药疗法。结论社区医师在用药管理、用药流程质量控制及用药指导方面给出了一系列建议。认为,这些可行的负担得起的干预方式在很大程度上可以预防用药错误的发生。
Background The study of medication errors mainly concentrated in the hospital. This article aims to study medication errors in community healthcare, investigate the main causes of medication errors and propose relevant solutions. Methods From September 2013 to November 2014, the importance ranking method was used to identify and classify problems and solutions to medication errors. 500 community physicians from northwestern London participated in an open questionnaire survey that returned 113 valid questionnaires with 48 problems and 45 related solutions. From 500 community physicians randomly selected 57, the existing problems and solutions were scored, and according to the score, lists the problems with medication errors and solutions to the importance of the level of the table. Results The first three problems were: inconsistencies in medication administration, inadequate medication guidelines and poor quality discharge summary for different physicians prescribing patients. The first three solutions were to design a standard discharge summary template, to reduce unnecessary prescriptions and to minimize multidrug therapy. Conclusion Community physicians made a series of suggestions on medication administration, quality control of medication process and medication guidance. Think of these viable and affordable interventions to a large extent can prevent the occurrence of medication errors.