出院患者用药安全管理的最佳证据总结

doi:10.16460/j.issn1008-9969.2025.03.050

摘要/Abstract

摘要： 目的系统检索、评价和总结出院患者用药安全的最佳证据,为指导出院患者用药安全提供循证依据。方法采用“6S金字塔”证据模型,系统检索计算机决策支持系统、指南网站、专业学会网站和数据库,文献类型涵盖指南和系统评价,检索时限为建库至2024年10月14日。由2名研究者对纳入文献进行质量评价,并对符合质量标准文献进行证据提取、汇总。结果纳入文献共16篇,包括指南6篇、系统评价10篇。最终汇总形成包括院内指导、出院过渡和院外监测3个方面共17条证据。结论医护人员应重视院内对患者开展用药安全指导的关键作用,加强多环节沟通,结合院外监测帮助患者建立完善的用药安全管理方案,提高出院用药安全性。

关键词: 出院患者, 用药安全, 药物管理, 证据总结, 循证护理

Abstract: Objective To systematically retrieve, appraise, and summarize the best evidence on medication safety for discharged patients, and to provide evidence-based reference for safe medication in this population. Methods The "6S Pyramid" evidence model was applied to systematically search decision support systems, guideline websites, professional society websites, and databases for guidelines and systematic reviews, with a search period spanning from the inception to October 14, 2024. Two researchers independently assessed the quality of the included literature, and evidence was extracted and summarized from studies that met the quality criteria. Results A total of 16 studies were collected, including 6 clinical guidelines and 10 systematic reviews. Seventeen pieces of evidence were summarized and categorized into three primary domains: hospital-based medication safety guidance, discharge transition strategies, and post-discharge monitoring interventions. Conclusion Healthcare professionals should recognize the pivotal role of hospital-based medication safety interventions. Communication at various transitional stages and post-discharge monitoring should be considered to establish a comprehensive medication safety management program, thus to enhance medication safety among discharged patients.

Key words: discharged patients, medication safety, medication management, evidence summary, evidence-based nursing

中图分类号:

C931.2

李若雨, 刘鑫, 林萍, 陈丹, 林桦. 出院患者用药安全管理的最佳证据总结[J]. 护理学报, 2025, 32(3): 50-55.

LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients[J]. Journal of Nursing, 2025, 32(3): 50-55.

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