A multi‐intervention approach on drug therapy can lead to a more appropriate drug use in the elderly. LIMM‐Landskrona Integrated Medicines Management

Bergkvist, Anna; Midlöv, Patrik; Höglund, Peter; Larsson, Lisa; Eriksson, Tommy

doi:10.1111/j.1365-2753.2008.01080.x

Cited by 65 publications

(81 citation statements)

References 31 publications

(42 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…During the intervention period, the pharmacists took part in the daily work at the three wards and performed structured interventions in order to increase the appropriateness of the drug treatment [21]. Several interventions were performed by the pharmacists.…”

Section: Interventionmentioning

confidence: 99%

“…Patients eligible for inclusion were identified from the intervention group in the multi-intervention study [21]. Medication errors when discharged from hospital to community health care…”

Section: Quality Improvement Of the Information In The Discharge Summarymentioning

confidence: 99%

“…Also a systematic medication care plan was set up and used for follow-up and documentation of activities during the patient hospital stay. This model was shown to improve medication appropriateness and was very appreciated by the team [21].Computerised medical records are a prerequisite for the hospitals, the primary care, and the community care to access the same information. In Sweden, 88% of the hospitals have computerised medical records, in comparison with the rest of Europe and the United States where the numbers are 51 and 12% respectively [17].…”

mentioning

confidence: 99%

“…This has been shown to improve the quality and appropriateness of the prescription of medication to the elderly [21]. The aim of this study was to investigate whether the process improves the quality of the discharge summary and if this process development also reduces medication errors when patients are discharged from hospital.…”

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confidence: 99%

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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

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109

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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Section: Discussionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

“…Patients eligible for inclusion were identified from the intervention group in the multi-intervention study [21]. Medication errors when discharged from hospital to community health care…”

Section: Quality Improvement Of the Information In The Discharge Summarymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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