Hastanelerde İlaç Uzlaşısının Önemi

Year 2026, Volume: 35 Issue: 1, 43 - 57, 02.03.2026

Mert Emre Gündoğdu , Sevgin Memili , Nursel Surmelioglu

https://izlik.org/JA88PN83YY

Abstract

Bu çalışma, hastanelerde ilaç uzlaşısı uygulamalarının hasta güvenliği üzerindeki etkilerini, sağlık hizmetlerinin kalitesine katkılarını ve bu sürecin uygulanabilirliğini incelemek amacıyla hazırlanmıştır. İlaç uzlaşısı; hastaların hastaneye yatışı, birimler arası transferi ve taburculuk gibi bakım geçişlerinde, mevcut ilaç kullanım bilgileri ile yeni tedavi planlarının karşılaştırılarak olası tutarsızlıkların önlenmesini hedefleyen sistematik bir yaklaşımdır. Araştırma kapsamında, ilaç uzlaşısı sürecinin tanımı, temel ilkeleri, klinik eczacının rolü ve bu uygulamanın ulusal ve uluslararası düzeydeki örnekleri değerlendirilmiştir. Polifarmasi, ilaç-ilaç etkileşimleri ve yanlış doz uygulamaları gibi yaygın ilaç hatalarının önlenmesinde uzlaşı sürecinin sağladığı katkılar detaylı biçimde ele alınmıştır. Ayrıca, hasta güvenliği ve sağlıkta maliyet etkinlik açısından ilaç uzlaşısının taşıdığı stratejik önem vurgulanmıştır. Bu çalışma, hastanelerde ilaç güvenliğinin artırılmasında ilaç uzlaşısının temel bir araç olarak değerlendirilmesi gerektiğini ortaya koymakta ve ilaç uzlaşısı uygulamalarının sağlık sistemine entegrasyonu sürecinde karşılaşılan zorluklara da ışık tutarak, etkin bir uygulama için gerekli yapısal ve organizasyonel önerilere yer vermektedir.

Keywords

İlaç Uzlaşısı , Polifarmasi , Klinik Eczacılık , Hasta Güvenliği , İlaç Hataları

The Importance of Medication Reconciliation in Hospitals

https://izlik.org/JA88PN83YY

Abstract

This study aims to examine the impact of medication reconciliation practices in hospitals on patient safety, the quality of healthcare services, and the feasibility of implementation. Medication reconciliation is a systematic process that involves comparing a patient’s current medication usage with newly prescribed treatments during transitions in care, such as hospital admission, intra-hospital transfers, and discharge, in order to prevent possible discrepancies. Within the scope of the research, the definition, fundamental principles, and implementation steps of medication reconciliation, along with the role of clinical pharmacists, have been evaluated through national and international practices. The contribution of this process in preventing common medication errors such as polypharmacy, drug-drug interactions, and incorrect dosing has been discussed in detail. The strategic importance of medication reconciliation in terms of improving patient safety and ensuring cost-effective healthcare is also emphasized. Furthermore, this study addresses the challenges faced in integrating medication reconciliation into healthcare systems and proposes organizational and structural strategies for effective implementation. The findings indicate that medication reconciliation should be regarded as a key tool in enhancing medication safety in hospitals.

Keywords

Medication Reconciliation , Polypharmacy , Clinical Pharmacy , Patient Safety , Medication Errors

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