Pharmacist Medication Assessments in a Surgical Preadmission Clinic

Kwan, Yvonne Y.; Fernandes, Olavo; Nagge, Jeff; Wong, Gary; Huh, Jin-Hyeun; Hurn, Deborah A.; Pond, Gregory R.; Bajcar, Jana

doi:10.1001/archinte.167.10.1034

Cited by 144 publications

(167 citation statements)

References 14 publications

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“…3,15,17,18 These previous studies involved patients who were admitted directly to an inpatient medical unit or to a surgical preadmission clinic. To the authors' knowledge, this is the first study that has evaluated admissions through an emergency department.…”

Section: Discussionmentioning

confidence: 99%

Medication Reconciliation by a Pharmacist in the Emergency Department: A Pilot Project

Kent¹,

Harrington²,

Skinner³

2009

CJHP

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Section: Discussionmentioning

confidence: 99%

Medication Reconciliation by a Pharmacist in the Emergency Department: A Pilot Project

Kent¹,

Harrington²,

Skinner³

2009

CJHP

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“…In the elderly, the risk of medication errors increases with the number of home medications when admitted to or discharged from hospital [1]. Medication errors can lead to Eur J Clin Pharmacol (2009) severe consequences for the patient, and 20-30% of medication errors have been assessed as potential adverse drug events [2].…”

Section: Introductionmentioning

confidence: 99%

Improved quality in the hospital discharge summary reduces medication errors—LIMM: Landskrona Integrated Medicines Management

Bergkvist

Midlöv

Höglund

et al. 2009

Eur J Clin Pharmacol

104

114

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Purpose We have developed a model for integrated medicines management, including tools and activities for medication reconciliation and medication review. In this study, we focus on improving the quality of the discharge summary including the medication report to reduce medication errors in the transition from hospital to primary and community care. Methods This study is a longitudinal study with an intervention group and a control group. The intervention group comprised 52 patients, who were included from 1 March 2006 until 31 December 2006, with a break during summer. Inclusion in the control group was performed in the same wards during the period 1 September 2005 until 20 December 2005, and 63 patients were included in the control group. In order to improve the quality of the medication report, clinical pharmacists reviewed and gave feedback to the physician on the discharge summary before patient discharge, using a structured checklist. Medication errors were then identified by comparing the medication list in the discharge summary with the first medication list used in the community health care after the patient had returned home.Results By improving the quality of the discharge summary, patients had on average 45% fewer medication errors per patient (P=0.012). The proportion of patients without medication errors was 63.5% in the control group and 73.1% in the intervention group. However, this increase was not significant (P=0.319). Patients who used a specific medication dispensing system (ApoDos) had a 5.9-fold higher risk of suffering from medication errors than those without this medication dispensing system (P<0.001). Conclusion Review and feedback on errors in the discharge summary, including the medication report and a correct medication list, reduced medication errors during the transfer of information from hospital to primary and community care.Keywords Elderly . Hospital discharge . Inpatients . Medication errors . Medication reconciliation . Medication report IntroductionIn the elderly, the risk of medication errors increases with the number of home medications when admitted to or discharged from hospital [1]. Medication errors can lead to Eur J Clin Pharmacol (2009) severe consequences for the patient, and 20-30% of medication errors have been assessed as potential adverse drug events [2]. A review article reports that of the medication errors identified, 11-59% were thought to be of clinical importance [3]. Various types of medication errors are frequent in hospitals [4,5] and in the interface between care levels [6][7][8][9][10][11][12][13][14][15][16]. Insufficient quality in the transfer of information on a patient's medications has recently been highlighted as one of the most important problems in health care, and international and national programs have been developed for information and help [16]. According to the Institute for Healthcare Improvement, poor communication of medical information at transition points is responsible for as many as 50% of all medication errors and 20...

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“…3 Studies describing pharmacists' involvement in preadmission clinics have shown that such involvement can reduce the number of discrepancies in patients' medication histories. 3,5 In contrast to preadmission clinics, prehabilitation clinics focus on patient care before the patient attends the preadmission clinic, providing an opportunity to optimize chronic medical conditions before surgery. Prehabilitation has been described as the enhancement of a patient's functional capacity, to enable the patient to withstand surgery.…”

Section: Introductionmentioning

confidence: 99%

Drug-Related Problems in Patients Undergoing Elective Total Joint Arthroplasty of the Hip or Knee

Haley¹,

Raymond

Nishi

et al. 2009

CJHP

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Pharmacist Medication Assessments in a Surgical Preadmission Clinic

Cited by 144 publications

References 14 publications

Medication Reconciliation by a Pharmacist in the Emergency Department: A Pilot Project

Medication Reconciliation by a Pharmacist in the Emergency Department: A Pilot Project

Improved quality in the hospital discharge summary reduces medication errors—LIMM: Landskrona Integrated Medicines Management

Drug-Related Problems in Patients Undergoing Elective Total Joint Arthroplasty of the Hip or Knee

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