Epidemiology and outcomes of missing admission medication history in severe trauma: A retrospective study

Miller, Matthew; Morris, Richard; Fisicaro, Nicoletta; Curtis, Kate

doi:10.1111/1742-6723.12817

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…Miller et al sought to describe and compared three trauma groups from a level I trauma center in Sydney, Australia—those with medication histories currently on anticoagulants and antiplatelet medications (ACAP), those with medication histories not on ACAP, and those without medication histories [17]. Patient demographics, mechanism of injury, ISS, and clinical outcomes of these groups were compared.…”

Section: Resultsmentioning

confidence: 99%

“…Congruence of anticoagulant medication lists determined by EMS or hospital providers was also low [24], and medications were frequently omitted or incomplete [18, 19]. Omissions were the most common medication errors [17–19], totaling up to 72% in one article [19], consistent with the medication reconciliation reports in medicine patients [4]. Incomplete knowledge of medication usage and incorrect documentation by admitting clinicians contributed to medication reconciliation errors [18, 19].…”

Section: Discussionmentioning

confidence: 99%

“…Miller et al recommended having automatic requests sent to primary care physicians upon admission of a trauma patient, designating a single member of a team to obtain medication histories, and raising awareness that omission of medication is common [17]. However, this may not be a great option in our health care environment and in the trauma setting where patients may not have dedicated primary care physicians, have physicians outside the trauma center’s network, or may not be able to communicate that information to us due to their clinical status.…”

Section: Discussionmentioning

confidence: 99%

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Medications and patient safety in the trauma setting: a systematic review

et al. 2019

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Background Medication errors account for the most common adverse events and a significant cause of mortality in the USA. The Joint Commission has required medication reconciliation since 2006. We aimed to survey the literature and determine the challenges and effectiveness of medication reconciliation in the trauma patient population. Materials and methods We conducted a systematic review of the literature to determine the effectiveness of medication reconciliation in trauma patients. English language articles were retrieved from PubMed/Medline, CINAHL, and Cochrane Review databases with search terms “trauma OR injury, AND medication reconciliation OR med rec OR med rek, AND effectiveness OR errors OR intervention OR improvements.” Results The search resulted in 82 articles. After screening for relevance and duplicates, the 43 remaining were further reviewed, and only four articles, which presented results on medication reconciliation in 3041 trauma patients, were included. Two were retrospective and two were prospective. Two showed only 4% accuracy at time of admission with 48% of medication reconciliations having at least one medication discrepancy. There were major differences across the studies prohibiting comparative statistical analysis. Conclusions Trauma medication reconciliation is important because of the potential for adverse outcomes given the emergent nature of the illness. The few articles published at this time on medication reconciliation in trauma suggest poor accuracy. Numerous strategies have been implemented in general medicine to improve its accuracy, but these have not yet been studied in trauma. This topic is an important but unrecognized area of research in this field.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Medications and patient safety in the trauma setting: a systematic review

et al. 2019

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“…For this reason, the cases in the elderly group should be evaluated separately from the adult age group. The cases of the elderly age group are those in which cardiovascular diseases are frequent and antiaggregant, and in which anticoagulant drugs are used more frequently [11][12][13]. Therefore, in head trauma cases, it should be remembered that this age group is at higher risk regarding intracranial hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Linear fractures of the cranium: follow-up and management results of 442 cases

Asan¹,

Çalışkan²,

Sahin³

et al. 2018

Ann Clin Anal Med

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Aim: We aimed to evaluate the clinical and radiological follow-up of cases with isolated linear fractures detected in the cranium in the post-traumatic period, to determine on which cases and when to perform control radiological examinations and to suggest follow-up protocol. Material and Method: 442 cases with isolated linear cranium fracture were evaluated in the study. Imaging examinations and clinical findings of the cases at the time of admission were compared with radiological examinations and clinical findings at follow-up. Fracture localizations and trauma types were compared. Accompanying maxillofacial fractures depending on the localization of fractures detected in the cranium were determined. Results: In the follow-up CT examinations of 18 out of 442 cases, cerebral contusion in 12 cases and epidural hematoma in 1 case, not detected during initial admission were found. Post-traumatic epilepsy was observed in 4 cases without radiologic findings. In cases receiving follow-up radiological examinations, no significant difference was found between radiological examinations performed during 4-6 hours versus 12-24 hours after trauma. Discussion: Isolated linear fracture cases do not require neurosurgical intervention. The treatment protocol may change depending on findings during the follow-up period. Performing routine follow-up radiological examinations is not cost-effective in cases in which no additional finding is present, and symptoms do not persist.

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“…Although the absence of a medication history was not associated with morbidity and mortality, the authors concluded that a more complex relationship might exist between patients, their mechanism of injury and medication history. 1 Engagement of a clinical pharmacist was a proposed option to improve admission medication histories in severe trauma. This conclusion is supported by a recent systematic review identifying involvement in severe trauma and resuscitation as a key emerging area of practice for Emergency Medicine (EM) clinical pharmacists.…”

mentioning

confidence: 99%