Medication reconciliation at admission to surgical departments

González‐García, Lorena; Salmerón-García, Antonio; García‐Lirola, MªAngeles; Moya-Roldán, Susana; Belda-Rustarazo, S; Cabeza-Barrera, J

doi:10.1111/jep.12403

Cited by 16 publications

(19 citation statements)

References 29 publications

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“…Our percentage is similar to the percentage found by González-García et al 12 who reported that 55.1% of reconciliation errors required the participation of a pharmacist for their resolution in the Orthopaedic Surgery and Traumatology Department and the Angiology and Vascular Surgery Department. This could be explained by the greater experience medical specialists have with chronic medication compared with surgeons.…”

Section: Discussionsupporting

confidence: 90%

The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department

et al. 2017

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ObjectivesTo describe a clinical pharmacist’s (CP) activity in an emergency department (ED) regarding medication reconciliation and optimisation of pharmacotherapy of patients at hospital admission.MethodsA 1-year prospective observational study was conducted to analyse the activity of a CP in the ED of a 350-bed hospital in Spain. The CP reviewed home medications and medical prescriptions of patients to perform medication reconciliation if required and intervene if medication errors were detected.ResultsThe CP reviewed medications and medical orders of 1048 patients. 816 patients had home medication: 440 patients (53.9%) were correctly reconciled by the physician; 136 (16.7%) were reconciled by the physician with unintentional discrepancies; and 240 (29.4%) by the CP, with a higher percentage in patients admitted to surgical departments (χ2:38.698; P<0.001). Following pharmaceutical validation, 434 pharmaceutical interventions were performed.ConclusionsThe presence of a CP in an ED could increase the detection of reconciliation errors and help resolve medication errors.

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Section: Discussionsupporting

confidence: 90%

The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department

et al. 2017

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“…The most common reconciliation error was drug omission 5. Data from our review show that, following the establishment of the protocol for elective surgery patients at our institution, only 24 patients had a reconciliation error.…”

Section: Discussionmentioning

confidence: 87%

“…Most patients who are going to undergo elective surgery take medication that is not related to the surgery and therefore this raises safety issues which need to be addressed to reduce potential complications during the perioperative period 5. The present study shows the benefits of a proactive MR protocol (figure 1) conducted by a hospital pharmacist prior to patient admission, which ensures surgeons have the right information about the patient’s home medication when they have to prescribe hospital treatment in the operating theatre.…”

Section: Discussionmentioning

confidence: 99%

“…A study by González-García et al highlights the greater risk of reconciliation errors in patients admitted for elective surgery 5. The fact that medication can be prescribed by different physicians (surgeons, anaesthetists), that patients may stay in different departments during the perioperative process, the lack of communication between different hospital health professionals or between patients and healthcare providers, and the absence of a pharmacist in the operating theatre are factors that contribute to this situation 12…”

Section: Discussionmentioning

confidence: 99%

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An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions

et al. 2018

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ObjectivesTo describe a medication reconciliation (MR) procedure prepared by the pharmacist for patients admitted for elective surgery and to assess the surgeon’s degree of acceptance.MethodsA 1-year retrospective observational study was conducted. The patient population consisted of patients aged ≥18 years admitted during 2016 for elective surgery and whose planned length of hospital stay was >24 hours. A pharmacist performed MR following a specific protocol. A review of the reconciliations prescribed later by the surgeons was conducted. Statistical analyses were performed for qualitative and quantitative variables.ResultsThe pharmacist prepared a total of 1986 reconciliation reports. The 179 patients reviewed in this study had a mean age of 65.7±11.8 years, 49.2% were women and 98.9% of patients were reconciled by the surgeon in the operating theatre using an electronic prescribing system (85.5% were fully reconciled).ConclusionThe hospital’s MR protocol resulted in almost 100% of patients being reconciled within the subgroup of elective surgery patients by the prescribing surgeons.

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“…Consistent with the findings in this study number of medications is widely found as risk factor for medication errors in transitions of care Number of medications is a very obvious risk factor for medication errors; the more medication a patient uses, the higher the risk of errors.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for medication errors at admission in preoperatively screened patients

Ebbens

Gombert-Handoko

Al-Dulaimy

et al. 2018

Pharmacoepidemiology and Drug

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Medication reconciliation at admission to surgical departments

Abstract: There was a high prevalence of REs among patients admitted to the surgical departments, most frequently the omission of a drug. The risk of an RE was higher in patients admitted for elective versus emergency surgery, as well as with the receipt of a larger number of drugs before admission.

Cited by 16 publications

References 29 publications

The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department

The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department

An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions

Risk factors for medication errors at admission in preoperatively screened patients

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