The need for medication reconciliation: a cross-sectional observational study in adult patients

Knez, Lea; Šuškovič, Stanislav; Rezonja, Renata; Laaksonen, Raisa; Mrhar, Aleš

doi:10.1016/s0954-6111(11)70013-0

Cited by 43 publications

(54 citation statements)

References 17 publications

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“…Franco-Donat et al (2010) found that 42% of 102 patients submitted to a reconciliation process showed a drug related problem. Knez et al (2011) found that 74.3% of in-patient therapy were in discordance with the patients' pre-admission therapy but most were intentional discrepancies and only 8.3% of them corresponded to drug errors. Hellstrom et al (2012) found that at least one medication history error was identified by pharmacists conducting medication reconciliations in 47% of the patients.…”

Section: Resultsmentioning

confidence: 95%

“…Medication reconciliation is one of the barriers proposed to reduce medication errors in health care transitions (Chhabra et al,2011;Knez et al, 2011;Hellstrom et al, 2012). It is a formal process of continuous care that consists of three steps for gathering data: check (patient medication history), clarification (confirmation if the doses, dosages and instructions on medicines are used correctly by the user) and the reconciliation itself (documentation of changes and requirements) (Chhabra et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Medication reconciliation as a strategy for preventing medication errors

Spalla

Castilho

2016

Braz. J. Pharm. Sci.

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One of the current barriers proposed to avoid possible medication errors, and consequently harm to patients, is the medication reconciliation, a process in which drugs used by patients prior to hospitalization can be compared with those prescribed in the hospital. This study describes the results of a pharmacist based reconciliation conducted during six months in clinical units of a university hospital. Fourteen patients (23.33%) had some kind of problem related to medicine. The majority (80%) of medication errors were due to medication omission. Pharmaceutical interventions acceptance level was 90%. The results suggest that pharmacists based reconciliation can have a relevant role in preventing medication errors and adverse events. Moreover, the detailed interview, conducted by the pharmacist, is able to rescue important information regarding the use of drugs, allowing to avoid medications errors and patient injury. Uma das barreiras propostas para se evitar possíveis erros relacionados a medicamentos e, consequentemente, que danos acometam o paciente, é a reconciliação medicamentosa no ato da internação, processo no qual se comparam os medicamentos usados pelos pacientes previamente à internação com os prescritos no âmbito hospitalar. Este trabalho descreve os resultados de seis meses de um processo de reconciliação conduzido por farmacêutico em unidades clínicas de um hospital universitário. Quatorze pacientes (23.33%) tiveram algum tipo de problema relacionado ao uso de medicamentos. A maioria dos erros envolvendo medicamentos (80%) estava relacionada à omissão de medicamentos. As intervenções farmacêuticas tiveram 90% de aceitação pelos médicos. Os resultados sugerem que a atuação de farmacêuticos na reconciliação medicamentosa pode desempenhar papel relevante na prevenção de erros de medicamentos e eventos adversos. Além disso, a entrevista detalhada conduzida por um farmacêutico se mostrou capaz de resgatar informações importantes sobre o uso dos medicamentos, permitindo evitar erros e danos ao paciente.Unitermos: Reconciliação medicamentosa. Medicação/erros/prevenção. Medicação/eventos adversos/ prevenção. Paciente/segurança. Farmacêutico/atuação profissional.

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Section: Resultsmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Medication reconciliation as a strategy for preventing medication errors

Spalla

Castilho

2016

Braz. J. Pharm. Sci.

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“…The study population consisted of 54% of males and majority of the patients (39%) were in the age range of 51 to 65years, followed by 66 to 80 years (29%), with the mean age of 61 ± 15 years. A study conducted by Lea Knez et al (2011), had a study population with a median age of 73 years and a male preponderance of 57.4%. 23 In the present study, majority of the patients were admitted with medical emergencies like cardiac (24%) and renal complications (23%).…”

Section: 22mentioning

confidence: 99%

“…A study conducted by Lea Knez et al (2011), had a study population with a median age of 73 years and a male preponderance of 57.4%. 23 In the present study, majority of the patients were admitted with medical emergencies like cardiac (24%) and renal complications (23%). A similar finding was observed in a study conducted by Jeffrey M Rothschild, et al, which stated medical emergencies like cardiovascular, respiratory and neurological complications as the main reasons for emergency admission.…”

Section: 22mentioning

confidence: 99%

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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“…For that reason we included question 19 into the performance attributes group. Taking a medication history at admission was shown to be one of the most valuable activities of clinical pharmacists [53][54][55]. The same reasoning and large differences in the perception between physicians and nurses on one side, and pharmacists on the other side, also applies to the questions 9 and 21 where we can notice a statistically significant effect when decreasing the value from 3 to 2, but also when increasing the value from 3 to 4.…”

Section: Tablementioning

confidence: 57%