由於老年人口不斷增加，使得老年人成為長期照護的主要對象，特別是慢性病的老年人，長期照護在此條件下的需求遽增。藥師進入長期照護機構在諸位藥師前輩的努力之下，漸漸被重視，藥師發揮專業進入機構提供藥事服務已是一種趨勢。
研究目的：藥師介入長期照護機構建置安全用藥環境，提升住民的用藥安全。
研究方法：擬定安全用藥環境評估表，將評估分為五部分評分，分別為：一、住民常備藥品管理（20分）。二、冷藏藥品管理（7分）。三、藥物資訊（5分）。四、給藥紀錄單（13分）。五、藥品磨粉（5分），總分50分，每一個月訪視評估一次且連續三個月，由以上評估數據做趨勢檢定（Cochran-Armitage’s trend test）分析。
研究結果：一、住民常備藥品管理改善成長59％。二、冷藏藥品管理改善成長62％。三、藥物資訊改善成長60％。四、給藥紀錄單改善成長52％。五、藥品磨粉改善成長67％。每部分評分結果皆改善五成以上，由以上評估數據做趨勢檢定分析顯示：藥師介入機構建置安全用藥環境成果顯著（p＜0.0001）。
結 論：藥師提供專業藥事服務，提升機構安全用藥受到機構及評鑑委員的肯定，並建請衛生單位明瞭藥師介入長照機構的迫切性，讓長照機構藥事服務不但有實質上的進步，優良的藥事服務品質更是民眾所期待。
Due to the increasing population of the elderly in Taiwan, the demand for institutional long-term care service is increasing day by day. It is the current trend that pharmacists have emerged as an accepted professional of health care to the elderly patient in long-term care facility. Medication safety is an important quality issue in the management of health care services.
Objective：This study was to improve the present existed medication safety environment and quality of long-term care after pharmacist interventions.
Methods：The assessment scale for the environment of medication safety evaluation consist of five parts, including medication deposit management, refrigerator management, medication information, medication administration record and pulverization management. Long-term care facilities were visited once a month by the pharmacists for three months.
Results：Cochran-Armitage’s trend test revealed that pharmacist intervention has significant benefit to improve the environment of medication safety (p＜0.0001).
Conclusions：Safer medication management environment will provide a better practice to improvement the quality of patient care. The experience of establishing this evaluation form will be a useful reference to other long-term care facility in the future.
