Medication charts in residential aged-care facilities

Jackson, John Zen; Welsh, E. A.

doi:10.18773/austprescr.2017.004

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…However, medications belonging to the high-risk medicines group (e.g., insulin and anticoagulants) can have a particularly serious clinical impact on patients if they are not administered. A system with electronic MARLs (eMARLs) has thus been suggested as a solution in previous research, so that care providers can easily access information about the pharmacotherapy and subsequently administer medication [19,32,33].…”

Section: Resultsmentioning

confidence: 99%

Untitled

2020

J Geriatr Med Gerontol

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Background: Home care professionals regularly observe drug-related problems during home care provision. Problems related to the process of the medication therapy could involve discrepancies in medication prescriptions between the hospital discharge letter and the medication administration record lists (MARL) or insufficient drug delivery. The objective of this study is to determine the potential clinical consequences of medication process problems observed by home care professionals, since those consequences have not been assessed before.Methods: A retrospective descriptive study design was performed. An expert panel performed an assessment procedure on the clinical consequences of medication process problems. Such problems were reported by home care professionals during routine care (May 2016 until May 2017) using the eHOME system, which is a digital system developed to assist in the reporting and monitoring of drug-related problems. Using a three-point scale, an expert panel assessed the potential clinical consequences of those medication process problems among older home care patients (aged 65 years and over). Results: 309 medication process problems in 120 out of 451 patients were assessed for potential discomfort or clinical deterioration. The problems involved the following: medication discrepancies (new prescription not listed on the MARL [n = 69, 36.7%]; medication stopped by the prescriber but still listed on the MARL [n = 43, 22.9%]; discrepant time of intake [n = 25, 13.3%]; frequency [n = 24, 12.8%]; and dose [n = 21, 11.2%], therapeutic duplication listed on the MARL [n = 5, 2.6%]; and discrepant information on route of administration [n = 1, 0.5%]); an undelivered MARL [n = 103, 33.3%]; undelivered medication [n = 16, 5.2%]; and excessive medication delivery [n = 2, 0.7%]. Furthermore, 180 (58.2%) out of 309 medication process problems were assessed as having the potential for moderate or severe discomfort or clinical deterioration in patients. Conclusions:The majority of medication process problems may result in patient discomfort or clinical deterioration.

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Section: Resultsmentioning

confidence: 99%

Untitled

2020

J Geriatr Med Gerontol

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“…Discrepancies between nursing home medication charts, doctors' prescriptions and pharmacy dispensing profiles are known to occur, 18 so differences between DAA contents and nursing home charts may reflect problems with communication of information between prescribers, pharmacies and nursing homes, rather than DAA packing errors by pharmacies. 19 Carruthers, et al reported that a substantial number of DAA errors were associated with failure to provide prescriptions or failure to chart or communicate medication changes to the pharmacy. 11 Hussainy, et al stated that numerous errors may have occurred due to a lack of effective communication between the nursing homes and pharmacy.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of medication labels on community pharmacy-prepared dose administration aids: An observational study

Uzunbay,

Elliott,

Taylor

et al. 2023

Exploratory Research in Clinical and Social Pharmacy

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“…They highlighted the advantage of having prescribers, aged-care staff and pharmacists working from a single record of medication order information. 1 Their article focused primarily on problems with paper medication charts, and suggested that electronic charts may address the problems.…”

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confidence: 99%