探索护士在老年人出院时药物协调中的作用:叙事方法

IF 3.6 3区 医学 Clinical Interventions in Aging Pub Date : 2024-03-05 DOI:10.2147/cia.s450319
Ling-Ling Zhu, Yan-Hong Wang, Mei-Juan Lan, Quan Zhou
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引用次数: 0

摘要

摘要:用药核对(MR)是将患者的用药医嘱与患者一直服用的所有药物进行比较,以发现并解决用药差异的过程。它是一种有效的风险管理手段,可避免用药错误(如遗漏、重复、剂量错误或药物相互作用)。一些指南明确指出,MR 是由药剂师主导的护理过渡;然而,目前合格药剂师短缺,无法满足日益增长的临床需求,临床护士的角色也未得到明确描述。本文旨在帮助护士树立信心,为出院时的 MR 工作做出贡献,并让业界意识到如果护士不积极介入这一领域可能存在的风险。本文采用叙事方法,介绍了中国一家学术医疗中心医院的老年病房通过出院时的核磁共振识别差异和用药错误的经验。护士在 MR 中的主要角色包括追逐、检查和教育。临床护士是尚未开发的医院资源,如果能得到有效的培训和激励,她们可以在出院时积极参与磁共振检查。出院时的多学科合作使许多差异得以协调,避免了对老年患者造成伤害。值得对老年人出院时的 MR 进行进一步研究,例如护士工作的成本效益、电子工具的价值以及针对护理学生和护理人员的 MR 教育和培训的影响。
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Exploring the Roles of Nurses in Medication Reconciliation for Older Adults at Hospital Discharge: A Narrative Approach
Abstract: Medication reconciliation (MR) is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking in order to identify and resolve medication discrepancies. It is an effective means of risk management to avoid medication errors (eg, omissions, duplication, dosage errors, or drug interactions). Some guidelines explicitly state that MR is a pharmacist-led transition of care; however, there is a shortage of qualified pharmacists to meet the increasing clinical needs, and clinical nurses’ roles have not been clearly described. This paper aimed to enable nurses to gain confidence in contributing to MR at discharge and to make the industry aware of the potential risks if nurses do not actively intervene in this area. A narrative approach was used to introduce experiences in identifying discrepancies and medication errors through MR at discharge in a geriatric ward of an academic medical center hospital in China. The nurses’ main roles in MR involve chasing, checking, and education. Clinical nurses, an untapped hospital resource, can actively engage in MR at discharge if they receive effective training and motivation. Multidisciplinary collaboration at discharge allowed many discrepancies to be reconciled before harming older patients. It is worth conducting further research in MR when discharging older adults, such as the cost-effectiveness of nurses’ efforts, the value of electronic tools and the impact of MR-targeted education and training for nursing students and nursing staff.

Keywords: hospital discharge, medication reconciliation, multidisciplinary collaboration, older adults, patient safety
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来源期刊
Clinical Interventions in Aging
Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-
CiteScore
6.20
自引率
2.80%
发文量
193
期刊介绍: Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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