預防藥物相關之跌倒

Prevention of Drug-induced Falls

張惠琳(Hui-Lin Chang) ； 樓亞洲(Yea-Jou Lou) ； 陳立奇(Lih-Chi Chen)

《北市醫學雜誌》 6卷5期 (2009/10) Pp. 409-417

https://doi.org/10.6200/TCMJ.2009.6.5.08

摘要

在全國各醫療院所病人安全通報事件中，“跌倒”都是占前三位。有研究顯示，老人跌倒四成與服用藥品有關，特別是使用利尿劑、緩瀉劑、鴉片類止痛劑、降壓劑、鎮靜安眠藥、抗精神病藥物、抗憂鬱劑、降血糖劑、抗癲癇藥、抗膽鹼藥物、麻醉藥品和抗組織胺劑。跌倒導致傷害時，易引起醫療糾紛，延長住院天數及增加醫療費用。藉由了解可能增加跌倒風險性之藥品，提高醫療團隊對病患之照護，以達到提升病人用藥安全之目的。

關鍵字

跌倒 ； 用藥安全 ； 病人安全

並列摘要

”Falls” always occupies the top three issues in the Taiwan Patient Safety Reporting System (TPR) from hospitals nationwide. Previously studies revealed that 40% of falls in aged people is associated with medicine, especially in several types of drug such as diuretics, laxotives, narcotics, antihypertensives, sedatives, antipsychotics, antidepressants, hypoglycemics, anticonvulsants, anticholinergics, anesthetics and antihistamines. Injury caused by falls may lead to medical disputes and increased days in hospital together with higher treatment costs. By identifying and understanding the drugs that may increase the risk of falling, we will improve the healthcare provided by the medical team to the patients and also achieve the objective of promoting drug safety.

並列關鍵字

falls ； drug safety ； patient safety