Medication List Assessment in Spanish Hospital Emergency Departments

Risk factors for medication errors at admission in preoperatively screened patients

“…The primary outcome was the proportion of patients with one or more medication errors at hospital admission. The association of this outcome with potential risk factors (age, sex, number of medications, ASA score or 9 comorbidities, time between POS and admission, health literacy or educational level, and living situation) was analysed as a secondary outcome.…”

“…In general, polypharmacy and age are well‐known risk factors associated with unintentional medication discrepancies . Multiple comorbidities have also been shown to increase the risk of medication discrepancies . However, it is unknown whether these risk factors for medication discrepancies also apply to medication discrepancies occurring at hospital admission after previous medication reconciliation at the POS.…”

“…A possible explanation for a comorbidity as an independent risk factor is that comorbidities provide varied pharmacotherapy, which makes the medication more complex and more difficult to transfer in transitions of care. Earlier studies only examined multiple comorbidities as a risk factor, not the individual comorbidities . Respiratory comorbidity as a risk factor can be explained by the type of medication used for respiratory diseases: inhalation medication and their devices are easily transferred incompletely (for example, metered dose inhaler unintendedly switched to dry powder inhaler).…”

“…In addition, the risk factors that are associated with these discrepancies are unknown. In general, polypharmacy and age are well‐known risk factors associated with unintentional medication discrepancies . Multiple comorbidities have also been shown to increase the risk of medication discrepancies .…”

“…[4][5][6][7][8][9] Multiple comorbidities have also been shown to increase the risk of medication discrepancies. 4,8 However, it is unknown whether these risk factors for medication discrepancies also apply to medication discrepancies occurring at hospital admission after previous medication reconciliation at the POS. Yet knowledge of these risk factors could enable selection of patients who would not need a second medication reconciliation at hospital admission.…”