用藥安全守護者——高齡者居家用藥安全的照護機制

Drug Safeguards to Ensure the Ambulatory Medication Safety of Elderly People

用藥安全是病人安全首要目標，完整的用藥安全防護應始於處方、調劑、給藥，直到個人正確用藥。運用行動通訊科技於健康照護產品，輔助醫療團隊將用藥安全的關注自醫院延伸至個人日常生活是重要發展趨勢。高齡者因老化、慢性病問題，普遍長期同時服用多種處方藥且常發生多種不當用藥行為，為藥物不良反應高危險群。為確保高齡者用藥安全，研發用藥安全守護者提供行動應用服務，從醫療機構、居家與社區在用藥安全方面扮演指導者（educator）、照護者（caregiver）、提醒者（reminder）與監測者（detector）的角色，讓高齡者能輕鬆將用藥安全守護科技融入生活當中。

Medication safety is a primary patient safety goal. Medication safety addresses a comprehensive process that includes prescription issuance, medication dispensing, administration, and patient consumption. The application of mobile communication technology to healthcare products and to the extension of medication safety beyond the hospital into daily life are important trends. The elderly are a high risk group for adverse drug events due to age and higher incidences of chronic disease, multiple medication use, and improper medication behavior. Drug safeguards delivered through mobile services can enhance the medication safety of elders. Such services provide an education, care giving, and response link among institutions, homes, and the community, making it easier to integrate medication safety technology into daily life.