Comprehensive medication history: the need for the implementation of medication reconciliation processes

Rezonja, Renata; Knez, Lea; Šuškovič, Stanislav; Košnik, Mitja; Mrhar, Aleš

doi:10.2478/v10152-010-0021-x

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…The starting point of each physician-patient relation would be the initiation of the anamnesis (Rezonja, R. et al 2010) except for the life-threatening situations in acute care. Misunderstanding and lack of medical records are the source of serious problems if foreign patients cannot understand the physician's questions and/or at fi rst stage cannot provide any document on the previous troves (medical fi ndings, records) belong to their own medical history.…”

Section: Role Of Medical Historymentioning

confidence: 99%

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

Illés¹,

Gellér-Lukács

2016

HunGeoBull

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The eff ect of international migration on public health care system is one of the emerging themes within health and mobility studies. Unfortunately, there is scarce information on health situation of international migrants in Central and Eastern Europe. This research paper tries to contribute fi lling in this gap with a case study related to Hungary and it deals with the access and participation of third-country nationals to the Hungarian public health care system as patients. The study integrates quantitative and qualitative methodologies coupled with a holistic approach. Macro data of the National Health Insurance Fund was analysed and fi eld works in the National Ambulance Service and at the Semmelweis University (Budapest) were carried out. The volumes and rates of nationals of Ukraine, China, Vietnam, Serbia, former Yugoslavia, Russia and Mongolia are the dominant groups in the provision of acute care, in-patient care, out-patient care, dental care and cash benefi ts. Acute care is relatively the most populous and medical treatments in capital institutions as opposed to countryside ones. The main spatial factors aff ecting the provider and supplier side of public health care system in Hungary are identifi ed while concluding that third-country migrants utilize selectively the institutions of the Hungarian public health care system. Conclusions subscribe to the need for future research in this theme in the light of most recent international mobility upheavals.

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Section: Role Of Medical Historymentioning

confidence: 99%

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

Illés¹,

Gellér-Lukács

2016

HunGeoBull

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“…13 Equally, Re'onjaet al reported a high level of incomplete information on drug use in the medical record. 19 A study that was conducted by Unroe et al showed that 13.2% of patients did not have their medications recorded on admission, whereas in this study 7.8% did not have medication histories in their clinical records. 8 Some limitations were identified with the study.…”

Section: Determination Of Completeness Of Documentation Of Medication Histories In Clinical Records At the Time Of Admissionmentioning

confidence: 52%

“…18 In a similar study in Slovenia, Re'onjaet al reported more than one discrepancy per medication history similar to this study, this was difficult to analyse (therefore, were grouped under others). 19 Other discrepancies (8.4%) included wrong frequency of administration, wrong drug descriptions or names, incomplete dose, and differences between clinical notes.…”

Section: Determination Of Accuracy Of Medication Histories At the Time Of Hospital Admissionmentioning

confidence: 99%

Accuracy and Completeness of Medication Histories in Patients in Medical Admission Ward at the University Teaching Hospital

Mutinta

Muungo

Yassa

2020

JABS

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Background: Quality documentation of medication histories at the time of hospitaladmission with regard to accuracy and completeness is not documented at the University Teaching Hospital (UTH), in Zambia. The aim of our study was to assess the accuracy and completeness of medication histories obtained in patients upon hospital admission. Materials and Methods: We conducted a prospective cross-sectional study at the medical admission ward, University Teaching Hospital, over a period of 3months. Our study enrolled 322 patients admitted to this ward who were above 18 years of age and were able to communicate verbally, if not, were accompanied by a caregiver. Clinical records of these patients were screened to review allmedications the patient was taking and patients/caregivers were interviewed to obtain acomplete medication history. All information obtained from patients through interviews was compared with medications recorded in the patient’s clinical records at the time of admission to the hospital. The Statistical Package for Social Sciences(SPSS) version 22 was used for all statistical calculations. Results: Of 287 clinical records, 175 (61%) incidents of inaccurate medication histories at the time of admission were identified and that medication histories in clinical records of patients were incomplete or poorly documented. Conclusion: Our study shows that 61% of medication histories in patients at the time of admission to hospitals are inaccurate. Quality documentation of medication histories in clinical records at the time of hospital admission is poor.

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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: 64%

Assessment of surveys for the management of hospital clinical pharmacy services

Cufar

Mrhar

Robnik–Šikonja

2015

Artificial Intelligence in Medicine

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Comprehensive medication history: the need for the implementation of medication reconciliation processes

Cited by 9 publications

References 8 publications

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

Accuracy and Completeness of Medication Histories in Patients in Medical Admission Ward at the University Teaching Hospital

Assessment of surveys for the management of hospital clinical pharmacy services

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