求翻译!medication reconciliation定义
求翻译!medication reconciliation定义
加拿大Queen’s大学医学院:Medication Reconciliation视频课件
1.定义
Medication Reconciliation is a formal process in which healthcare providers partner with patients and their families to ensure accurate and complete medication information transfer at interfaces of care.This includes admission and discharge from a hospital or changes in care setting,service,or level of care.
所谓医疗沟通,即指卫生服务提供者(即:卫生执业人员、卫生从业者,更通俗的说法即:医务工作者)和患者、患者家属(即:患方)之间相互合作,以保证治疗衔接时医疗信息准确、完整的正规过程,包括出入院、转科、改变治疗(方案)、调整护理级别.
注:这里medication已不局限于用药/药物治疗了,而上升成整个治疗范畴.
2.步骤
The process of medication reconciliation involves the following key components:
Obtaining the most complete and accurate list possible of the patient’s current regularly taken medications,known as the Best Possible Medication History (BPMH).
Using the BPMH when writing admission,transfer and discharge medication orders.
Comparing the BPMH with the admission,transfer or discharge medication orders,identifying and bringing any discrepancies to the attention of the team and,if appropriate,making changes to the orders and documenting all changes.
医疗沟通全过程包括以下几个重要部分
1.尽可能掌握当前患者详尽、准确的常规服药记录(即最佳可能用药史,BPMH)
2.开付入院、转院、出院用药医嘱时,用到BPMH
3.将BPMH和入院、转院、出院用药医嘱进行比较,如条件允许,查清任何(记录与实际)出入,提请治疗组注意,并调整医嘱,备案所有的调整记录.
综上,medication reconciliation定义:为保证医疗信息完备、准确的治疗沟通、医疗衔接(记录).
题外
1.medication reconciliation现属于病人安全(patient safety)这一新兴领域范畴.值得医药学界同行看看.
2.这道题目归入医学板块,或许有更多同行看到,影响就更大了、业内交流或会更多.