藥師執行居家照護的安全議題

Safety Issues on Pharmacists Providing Home Care Visit

中華民國藥師公會全國聯合會（以下簡稱藥師全聯會）自2010年起陸續接受政府有關長期照護藥事服務之各項委託及試辦計畫，鼓勵藥師直接照顧個案，持續投入長期照護領域來保障民眾用藥安全。直到2014年，隨著藥事居家照護預算與人數的成長，藥師進行居家訪視的安全議題陸續受到重視。本文即在說明藥師執行居家訪視面臨的安全議題，及可提供之防範策略。根據藥師全聯會針對居家訪視藥師進行之問卷調查及文獻查證，發現藥師進行居家訪視時面臨交通、社區及居家環境、個案病情、可能被告及其他等五方面安全議題。文中並提出促進藥師安全進行居家照護的諸多可行策略，提供藥師從事居家訪視時參考。

Since 2010, Taiwan Pharmacist Association (TPA) applied and implemented many programs sponsored by Government to promote and protect patient medication safety through pharmacists providing pharmaceutical care in long-term care arena, including home, community, and institutional care. Until 2014, with the growth of the budget and patient number on home pharmaceutical care, the safety issues for pharmacists' home care is getting important. According to the results from a questionnaire survey on pharmacists providing home care conducted by TPA and literature review, this article discusses the types of high risk concerning home care safety and furthermore suggests some resolutions to ensure the safety of pharmacists. Transportation, environments of community and home, Infectious diseases, litigation issues, and the others are the five types of high risk and the alternative strategies to promote home care safety are addressed.