Medication Reconciliation

(กกกกกกกกกกกกกกกกก)
ก.กก.กกกกก
กกกก กกกกกกกกกก
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PP4182
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2

กกกกกกกกกกกกกกกกกก
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเ

กกกกกกกกกกกกกกกกกกกกกกกก
เเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเีี
1.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเ
2.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
ี
3.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเ
4.
1
 เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ

2
กก
กก เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเ (Advesrse drug event)
เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ Joint
Commission on Accreditation of Healthcare Organizations
(JCAHO) เเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเ เเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ (sentinel event)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ medication
reconciliation เเเเเเเ JCAHO เเเเเเเเเเเเเเเ
medication recociliation เเเเ National Patient Safety Goal
เเเ 8 เเเเเเเเเ เ.เ. 2005
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ เเเเเเเเเเเเเเเ
เเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ medication
reconciliation
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ เเเ
เเเเเเเเเเเเเเ เเเเเเ 3 เเเ Medication Safety
เเเ Thailand Patient Safety Goals 2007 เเเ เเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ 2550
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ 60 เเ
เเเเเเเเเเเ Institute for Healthcare Improvement
(IHI) เเเเเเเเเเเเเเเเเเเเเเเเเ 46
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ เเเเ เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเ (admission)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
3
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเ (transfer)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเ เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
(discharge) เเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ

กกกกกกกกกกก medication reconciliation

เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเีเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเ เเเเเเเเเเเเเ เเเเเเเ
เเเเเเเเเเเเเเเเเ
(เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเ เเเเเเเเเเเเเเเเเเเ เเเเเเเ
เเเเเเเเเเเเ )
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ เเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ

กกกกกกกกกกกกกกกกกกกก Medication Reconciliation

•
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
4
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
• เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ

5
 •
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเ
• เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเ เเเเเเเเเ
•
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเ
• เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ “เเเเเเเเเเเเเเ”
เเเเเเเเเเเเเเเเเเเเเเเเเเเ
“เเเเเเเเ เเเเเเเเเเเเเเเเเ”
“เเเเเเเเเเเเเเเเเเเเเเเเเเเเ”
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเ

กกกกกกกกกกกกกกกกกก
เเเเเเเเเ medication reconciliation
เเเเเเ 4 เเเเเเเเเเ เเเเเเ 1.
Verification
(เเเเเเเเเ/เเเเเเเเเ/เเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเ)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเ
6
เเเเเเเเเเเเเเเเเเเเเ เเเเเเเเ 1
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเ 2 เเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเ medication reconciliation เเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
(เเเเเเ/เเเเ/เเเเเเเ/เเเเเเเ)
เเเเเเเเเเเเเเเเเเเเเเ เเเเเเเ
เเเเเเเ เเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเ เเเเเเเเเเเเเเเเเเเ เเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
กกกกก 1 กกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกก

• เเเเเเเเเเเเเเเเเเเเเเเ
• เเเเเเเเเเเเเเเเเเ เเเเ
เเเเเเเเเเเ
• เเเเเเเเเเ
• เเเเเเเเเเเเเเ(medication administration
record,MAR) เเเเ medication sheet
• Patient drug profile
•
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
2. Clarification
เ
(เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
•
เเเเ) เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเ.เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเ เเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเ
3. Reconciliation (เเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ)

7
 เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเ
Admission reconciliation
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเ

เเเเเ 3
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ 4
•เเเเเเเ
Antibiotics • Inhalers
• Insulin • Seizure medication
• Antihypertens a multiple • Eye medication
ives on
dosing
• Anti-rejection
schedule drugs • Pain medication
• Antiarrhythmics • Oral a multiple
hypoglycemic dosing
on schedule
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เ
Transfer reconciliation เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เ เเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเ
Discharge reconciliation
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเ เเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ 2

8
 กกกกก 2
กกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกก
ก
•
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเ
•
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเ
4. •Transmission (เเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเ เเเเเเเเเเเเเเเเ
เเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
•
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ

9
เเเ 1 เเเเเเเเเเเเเเเเ medication
reconciliation

1
0
กกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกก
กกกกกกกกกกกกกกกกกกกก medication reconciliation
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเ medication
reconciliation เเเ เเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเ เเเเ เเเเเเเเเเ
เเเเเเเเ เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเ เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ เเเเเเเเเเ
เเเเเเเเเเเเเ เเเเเเเ
JCAHO
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ 24 เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเ 4 เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ เเเเเเเเเเเเเเเเเเเเเเเเเเเ 3
กกกกกกกกก (Medication Reconciliation form)
Medication reconciliation form
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ เเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ เเเเเเเ
เเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ เเเเเเเเเเเ
เเเเเเเเเเเเ 1
เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเ เเเเเเ
เเเเเเเเเเเเ เเเเเเเเเเเเเเเเเเ
1
1
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ เเเเ
เเเเเเเเเเเเเเเ เเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ

กกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกกก
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ เเเเเเเเเเเเเเเเเเเเเ
1.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเ (discrepancy)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเ เเเเเเ เเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเ เเเเเเ เเเเเเเเ
เเเเเเ เเเเเเเ เเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเ
2.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเีเ
ีเเเเเเเ (unintentional discrepancy)
เเเเเเเเเเเเเเเเเเเเเเ
1
2
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ เเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ เเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ

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3
 เเเเเเเเเเเเเเเเเ เเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเีเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ
unintentional discrepancy
เเเเเเเเเเเเเเเเเเเเเเเเ 4
กกกกก 4 กกกกกกกกก unintentional discrepancy

• Omission error
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
• Commission error
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ
• Different dose, route or frequency
• medication change within medication class
3. เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเีเเเเ
เเเเเ เเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเ (undocumented intentional discrepancy)
เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ เเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเ metformin
เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
1
4
 metformin
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ เเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ lactic
acidosisเเเ เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเ 2
4.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเ undocumented intentional discrepancy เเเ
unintentional discrepancy เเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
medication reconciliaton
เเเเเเเเเเเเเเเเเเเเเเ 2 เเเ 3
5. เเเเเเเเเเเเ potential harm เเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ 1
เเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
6. Medication reconciliation success index เเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเ
1
5
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเ เเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเ (non-discrepancy)
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเ(documented intentional discrepancy )
เเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
medication reconciliation

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6
 Medication Reconciliation
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเีเ
ีเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ

กกกกกกกกก
1. เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
2. เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
3.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเ
4.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเ
5.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเ
6.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเ
7. Unintentional discrepancy เเเเเเเ
8. เเเเเเเเเเเเเเเเเเเเเเเเเ Metformin เเเ
Glipizide
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเ เเเเเเเเ metformin
เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
1
7
 เเเเเเเ 2 เเเเ เเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
(Omission error เเเเ Commission error)

กกกกกกกกกกกกก
1. เเเเ เเเเเเเเเ, เเเเเ เเเเเเเเเเเ,
เเเเเเเ เเเเเเเเเเ, เเเเเเเเเเ.
Medication Reconciliation. เเเเเเเเเเเเเ 3.
เเเเเเเเเเเเเ:
เเเเเเเเเเเเเเเเเเเเเเเ
(เเเเเเเเเ); 2552.
2. เเเเเ เเเเเเเเเเเ. Medication Reconciliation.
เเเเเเเเเเเเเเเเเเเเเเเเ 2550; 17: 185-92.
3. เเเเเ เเเเเเ.
เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เเเเเเเเเเเเเเเเเเเเเเเเ เเเเเเเเเเเเ
เเเเเเเเเเเเเ.
[เเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเเ
เ]. เเเเเเ: เเเเเเเเเเเเเเเเเ; 2553.

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