Quality of Home Medication Collection in the Emergency Department: Reconciliation Discrepancies

Soler-Giner, E.; Izuel-Rami, M.; Villar-Fernández, I.; Campaña, José Manuel Real; Carrera‐Lasfuentes, Patricia; Hernández, María José Rabanaque

doi:10.1016/j.farmae.2010.06.003

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…The mean number of home medications in the study population was found to be 6 ± 3 medications per medical record with a maximum of 13 and minimum of one. This finding is in accordance with the observations of studies done by Andrea J Kent, which reported of an average of 6 home medications per medical record 25,26 which reported of an average of 7 ± 4 drugs in their home treatment with a maximum of 20 and a minimum of zero.…”

Section: 22supporting

confidence: 82%

Medication Reconciliation and Medication Error Prevention in an Emergency Department of a Tertiary Care Hospital

Poornima¹,

Reshma²,

Tv³

et al. 2015

JYP

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Objective: The study was conducted to assess the effectiveness of the medication reconciliation and medication error prevention in an emergency department of a tertiary care hospital. Materials and Methods: Patients of either sex, aged above 18 years admitted for more than 24 hours irrespective of their medical diagnosis and for whom medication reconciliation was done were included. Patients' home medication charts were compared with their current admission medication charts to check the number of home medications that were being continued to be administered during their hospital stay. Each home medication that was not ordered or commented on was deemed to represent a discrepancy. The discrepancies were classified according to the criteria of the Safer Healthcare Now! Campaign and reasons for not continuing the drug were also documented. The interventions were brought to the notice of the concerned physician. Results: Of 80 patients (43 males and 37 females; mean age 61 ± 15 years), 74 patients had medication discrepancies categorised as documented intentional discrepancies, undocumented intentional discrepancies and unintentional discrepancies and 6 patients had no discrepancies. There was a statistically significant association between number of home medications and discrepancies, both undocumented intentional discrepancies (P=0.005) and unintentional discrepancies (P=0.049). Conclusion: This study recommends the need for additional resources and educational initiatives for the health care professionals to improve medication reconciliation. For effective medication reconciliation, patients or their care takers must help the physicians and other health care professionals involved in reconciliation by bringing all their home medications at the time of hospital admissions.

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Section: 22supporting

confidence: 82%

Medication Reconciliation and Medication Error Prevention in an Emergency Department of a Tertiary Care Hospital

Poornima¹,

Reshma²,

Tv³

et al. 2015

JYP

View full text Add to dashboard Cite

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“…Essential information often overlooked includes home medication (prescription, over-the-counter, and herbal), therapy duplication at discharge, and incorrect dosage form, strength, or frequency. 3 In a study by Soler-Giner et al, 4 medical errors were found in 86.8% of emergency departments without defined medication reconciliation programs. A recent study by Bishop et al 5 showed that two out of five patients on the hospitalist service have discrepancies in their medications at discharge that can be identified and corrected by pharmacist intervention.…”

Section: Introductionmentioning

confidence: 97%

Survey of pharmacy involvement in hospital medication reconciliation programs across the United States

et al. 2015

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Objective:The objective of this study is to conduct a review of pertinent literature, assess pharmacy involvement in medication reconciliation, and offer insight into best practices for hospitals to implement and enhance their medication reconciliation programs.Method:Pharmacists in hospitals nationwide were asked to complete an anonymous survey via the American College of Clinical Pharmacy online database. The multiple choice survey analyzed the roles that healthcare professionals play in medication reconciliation programs at hospitals.Results:Of the survey responses received, 32/91 (35%) came from pharmacists at hospitals with a pharmacy-led medication reconciliation program. Of these pharmacy-led programs, 17/32 (53%) have a dedicated pharmacist or pharmacy staff to perform medication reconciliation.Conclusion:A comprehensive review of literature suggests that pharmacy involvement has the potential to reduce medication reconciliation errors and may improve patient satisfaction. Focused, full-time medication reconciliation pharmacists can help hospitals save time and money, improve outcomes, and meet higher standards issued by the Joint Commission. Data obtained in this study show the extent to which pharmacists contribute to achieving these goals in healthcare systems nationwide. This baseline study provides a strong case for hospitals to implement a pharmacy-led medication reconciliation program.

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“…MR has been shown to significantly reduce ME in adults,10 11 and many studies on this subject have been published in this population 12–15. In contrast, few studies have focused on the paediatric population, and the sample sizes are moreover small 16–19…”

Section: Introductionmentioning

confidence: 99%

Criteria for the selection of paediatric patients susceptible to reconciliation error

2022

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ObjectivesMany medication errors occur during care transitions, which are critical points for patient safety. There is strong evidence in favour of medication reconciliation as a strategy to avoid errors in adults, though few studies have been made in the paediatric setting. Likewise, no recommendations have been established for the selection and/or prioritisation of paediatric patients amenable to reconciliation.MethodsA retrospective study was conducted involving patients subjected to reconciliation by a pharmacist on admission to hospital and who experienced at least one reconciliation error between January and November 2018. Univariable and multivariable analyses were performed to identify possible factors associated with reconciliation error, using a logistic regression model to determine the odds ratio (OR) with the corresponding 95% confidence interval (95% CI).ResultsThe group of patients with at least one reconciliation error included 334 patients, compared with the group of patients without reconciliation errors, which included 1426 patients. It was determined that schoolchildren and adolescent patients had a risk of presenting a reconciliation error on hospital admission that was more than double for younger patients (OR 2.32, 95% CI 1.26 to 4.25, and OR 2.68, 95% CI 1.44 to 4.99, respectively). This risk was multiplied by five if we compared polymedicated patients versus non-polymedicated patients (OR 4.48, 95% CI 3.35 to 5.99). Patients with a neurological or onco-haematological underlying disease had a 12 and 10 times higher risk of presenting a reconciliation error compared with patients with other types of underlying diseases (OR 11.97, 95% CI 7.57 to 18.92, and OR 9.96, 95% CI 6.09 to 16.28, respectively). Finally, patients with narrow therapeutic index medicines in their usual treatment had an almost three times greater risk of presenting a reconciliation error when admitted to the hospital, although this last factor was not determined as an independent risk factor as for the others (OR 2.98, 95% CI 2.22 to 3.99).ConclusionsThe paediatric population is characterised by a number of risk factors for reconciliation error. Knowledge of these factors can allow the prioritisation of medication reconciliation in a concrete group of patients. In order to generalise the results obtained in this study, they must be confirmed in other paediatric care settings involving larger samples and different types of patients.

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Quality of Home Medication Collection in the Emergency Department: Reconciliation Discrepancies

Cited by 5 publications

References 11 publications

Medication Reconciliation and Medication Error Prevention in an Emergency Department of a Tertiary Care Hospital

Medication Reconciliation and Medication Error Prevention in an Emergency Department of a Tertiary Care Hospital

Survey of pharmacy involvement in hospital medication reconciliation programs across the United States

Criteria for the selection of paediatric patients susceptible to reconciliation error

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