門診病患用藥安全的認知－以北部區域級以上醫院爲例

吴芳純; 吴盈璇; 陳青浩; 隋安莉

doi:10.29539/CNABH.200912.0018

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P582 - 595

人文学 > 人文学综合
医药卫生 > 药理医学

DOI： 10.29539/CNABH

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门诊病患用药安全的认知－以北部区域级以上医院爲例

Cognition of Drug Safety in Outpatient-Regional Hospital vs. Medical Center in Northern Taiwan

吴芳纯(Fang-Chun Wu) ；吴盈璇(Ying-Synan Wu) ；陈青浩(Ching-Hao Chen) ；隋安莉(An-Li Sui)

嘉南学报（人文类）； 35 期 (2009 / 12 / 01) ， P582 - 595

繁体中文 DOI： 10.29539/CNABH.200912.0018

用药安全；病人安全；医病沟通； drug safety ； patient safety ； patient-medical professionals communication

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摘要 │ 参考文献 (29) │ 被引用文献 (4) │ 国际计量

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Medication safety is a primary component of a comprehensive safety program and an integral part of quality patient care. The most important issues for WHO, European countries, or US are promotion of the patient safety and diminishing medical error. It is also the main emphasis on healthcare administration in Taiwan. The first aim of patient safety is to elevate the drug safety. The goal can be accomplished not only in the good connection and cooperation of patient and medical staff, hut also in the enforcement of drug safety knowledge and proper behavior of taking drug for patient. To address the public health problem of outpatient drug safety, we investigated the perception of drug safety, behavior, patient-medical professionals communication and, from the patient's point of view, the fulfillment of drug safety in medical staff.
One medical center and one regional hospital in northern Taiwan were chosen as the survey targets, for their outstanding record in promoting medical quality and specific management department in charge with relative affairs. We investigated six main categories of drug safety by delivering 400 questionnaires, which included the inquiry of drug usage, patient-medical professionals communication, the labeling on drug bag, confirm processes during having drug, the accuracy in taking drug and the storage of drug. Our results show that: 1. The satisfaction for drug inquiry of hospital, the drug safety behavior of medical staff and the service of pharmacist were below 60%. 2. Female, those who were above 31-year, or who had medical service for 3~10 times past half year have the better patient-medical professionals communication. Higher educated patient would double check the medicine information from the pharmacy. When taking the medicine, older patients (＞51 years old) were more careful and correct. 3. The execution of drug safety policy by staff in medical center was significantly better than that in regional hospital.
The expectations of patient were a safer medical environment, as well as effective and harm-free medication. To assure safe therapy, the following should be addressed: first, more financial aid should be provided for the study of medication, and second, hospitals should provide drug consultation for patient, and make sure that patient have access to the full facts of understanding drug safety. The intervention of the aid of complementary computer system will help conceptualize patient drug safety, and establish an accurate drug delivery and recording system for preventing medical staff from any possible artifacts beforehand.

参考文献 ( 29 ) 〈TOP〉

病人安全委员会
行政院卫生署消费者资讯网
行政院卫生署病人安全资讯网
病人安全在台湾
on drug therapy management.

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