期刊
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
卷 67, 期 6, 页码 671-675出版社
WILEY
DOI: 10.1111/j.1365-2125.2009.03424.x
关键词
electronic prescribing; medication errors; medicines reconciliation; prescribing errors
2. Medication history errors, such as omitting drugs erroneously, are common and often have the potential to harm the patient. Hypersensitivity reactions are often poorly documented or not explored in detail, which may lead to unnecessary avoidance of a drug. Accurate documentation of concomitant herbal or alternative therapies is rare, despite the importance they may have in causing adverse effects or drug-drug interactions. Polypharmacy, specific drugs, and clinical specialty can affect the risk of medication history errors. 3. There are various strategies to reduce medication history errors. Pharmacists are better at taking an accurate medication history than many physicians or nurses. In the context of acute hospital admissions they reduce error, the risks of adverse drug reactions, and prescription costs. Electronic prescribing may reduce transcription errors, but it can facilitate other errors and still depends on an accurate medication history. 4. Education of prescribers, both in clinical pharmacology and in taking accurate medication histories is vitally important in reducing errors.
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