پاورپوینت با عنوان پاورپوینت آشنایی با پرونده بیمار و نحوه شرح حال گیری و اصول آن

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دکتر شهیده امینی متخصص داروسازی بالینی هیات علمی دانشکده داروسازی آشنایی با پرونده بیمار و نحوه شرح حال گیری و اصول آن Drug history taking is skill that needs to be learnt and practiced . Obtaining an accurate medication history is the first step of the medicine reconciliation process. The basic What is the aim of taking a drug history and why is it important? Everyone with an interest in patient care can benefit from medicine reconciliation Foundation for optimizing medication regimens Effectiveness e.g. successful & failed therapy Patient’s experience e.g. side effects and allergies Identify drug related admissions Adherence issues Discharge issues Advice or counselling – opportunistic The basic Such histories usually consist of a list of all medicines (prescribed and purchased) that a patient was taking prior to their admission to hospital. In addition to this, details of allergies or sensitivities to medicines (or excipients), recently stopped medicines (e.g. in the past month), and recent short courses of antimicrobials or corticosteroids should also be included. For some medical conditions, a list of previously tried medicines should also be included to help direct future prescribing (e.g. disease-modifying anti-rheumatic drugs [DMARDs] for rheumatoid arthritis). The basic A study by Lau et al. reported that up to 67% of patients admitted to a general medical ward had at least one error associated with their medication history; the most common being an omission medicines added that the patient did not take incorrect frequency and dosage A systematic review by Tam et al. demonstrated that 41% of medication history errors were clinically important, with 22% having the potential to cause harm, and the EQUIP study demonstrated that 30% of prescribing errors were due to medicines missing on admission. Some of these errors may be attributed to the limitations of the sources used to obtain the Errors associated with medication histories