Kommunikasjon om medikamentbruk i henvisninger, innleggelsesskriv og epikriser

Frydenberg, Karin; Brekke, Mette

doi:10.4045/tidsskr.10.0728

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…Recent studies have shown that information communicated through referrals is often insufficient in spite of their far-reaching implications and the importance of their being appropriate [3,4]. This means that the process of managing referrals between GPs and specialists is in need of improvement to secure the interests of the patients and relieve specialists of the extra time spent on managing poor referrals [5,6].…”

Section: Introductionmentioning

confidence: 99%

Electronic optional guidelines as a tool to improve the process of referring patients to specialized care: An intervention study

Rokstad

Holmen

et al. 2013

Scandinavian Journal of Primary Health Care

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ObjectiveThe main objective of this paper is to investigate whether incorporating an electronic optional guideline tool (EOGT) in the standardized referral template used by general practitioners (GPs) when referring patients to specialized care can improve outpatient referral appropriateness.DesignIntervention study with an intervention and a control group.Setting210 GPs in the municipality of Bergen and the Department of Thoracic Medicine at Haukeland University Hospital.Subjects2400 patients referred to the Department of Thoracic Medicine at Haukeland University Hospital.ResultsAn electronic optional guideline tool (EOGT) was implemented on 93 of 210 GPs’ computer systems. The referral quality and the time spent reviewing each referral were evaluated by the hospital specialists. The GPs did not know that their referrals were being evaluated. The specialists were blinded with regard to information concerning the intervention and the control group. The specialists reported significantly higher referral quality and considerably less time spent on evaluating referrals when using the EOGT, with an overall time reduction of 34%. Likewise, GPs also reported that the EOGT was easy to use, time-saving and led to an improved quality of their referrals.ConclusionThis study documents an improvement in the quality of the referrals. Since the GPs save time by using the EOGT, there is no reason to believe that they will discontinue using it. In fact, the tool may be even more beneficial for the GP. The authors believe that it is possible to implement the EOGT as a standard referral tool within various fields of medicine and are currently in the process of developing these tools.

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Section: Introductionmentioning

confidence: 99%

Electronic optional guidelines as a tool to improve the process of referring patients to specialized care: An intervention study

Rokstad

Holmen

et al. 2013

Scandinavian Journal of Primary Health Care

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“…Our findings also confirm that medication-related information included in discharge letters of study participants is insufficient to ensure safety and continuity of drug therapy across different care settings. Identified shortcomings in communication concern both medication changes [ 10 , 11 ] and, as this study has additionally revealed, potentially inadequate prescribing decisions. Importantly, this impairs the ability of ambulatory care professionals to provide for an appropriate continuation of post-hospital drug treatment and latently facilitates occurrence and perpetuation of secondary prescribing errors [ 12 ].…”

Section: Discussionmentioning

confidence: 96%

Influence of hospitalization on prescribing safety across the continuum of care: an exploratory study

Klüchtzner

Grandt

2015

BMC Health Serv Res

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BackgroundTransitions between different levels of healthcare, such as hospital admission and discharge, pose a considerable threat to the quality and continuity of drug therapy. This study aims to further explore the current role of hospitalization in prescribing error exposure and medication-related communication as patients are transferred from and back to ambulatory care.MethodsAssisted by electronic decision support, pre-admission and discharge medication regimens of 187 adult patients in a German university hospital were comparatively screened for clinically relevant categories of potentially inadequate prescribing. Binary logistic regression analyses were conducted to identify risk factors predisposing individuals to prescribing errors as a result of hospitalization. Additionally, it was established to what extent medication changes and potentially inappropriate prescribing decisions originating from inpatient treatment were communicated in discharge letters.Results94.7% of the patients are subjected to differences between pre-admission and discharge prescriptions occurring at a rate of 461 per 100 hospitalizations. However, these modifications in drug therapy do not have a significant effect on the total number of potential prescribing errors per patient (p = 0.135) even though a large potential for improvement exists throughout the care continuum. For instance, almost a quarter of study participants with impaired kidney function lacks appropriate dose adjustment for one or more drugs before onset and at the end of inpatient treatment alike (22.5% [95% CI: 13.5%-34.0%] vs. 22.8% [95% CI: 14.1%-33.6%]). Overall, the probability of error exposure following hospitalization rises with an increasing number of prescribed drugs per patient, while individuals treated on surgical wards are four times more likely to be discharged with a prescribing-related safety hazard than their counterparts from medical departments (OR: 4.069 [95% CI: 1.126-14.703]; p = 0.032). In the study population’s discharge summaries only 14.8% of medication changes and none of the potentially inappropriate prescribing decisions made during inpatient care are addressed, despite the latter occurring at a rate of 91 per 100 hospitalizations.ConclusionsThere is urgent need for standardized and evidence-based measures contributing to patient safety across sectorial interfaces of drug therapy. Our findings provide useful orientation for the targeted and rational design of such improvement strategies.

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“…Parts of the increase in prescription checks we see in this study might thus be that the electronic system reduces errors in the transmission step. Insufficient communication regarding a patient's medication treatment and manual routines in updating the medication lists are major causes of discrepancies in medication lists [27][28][29][30][31][32][33], and reducing errors in transmission probably increases medication safety for MDD users.…”

Section: Fewer Errors In the Transmission Of Prescriptionsmentioning

confidence: 99%

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

Jøsendal¹,

Bergmo²

2022

Linköping Electronic Conference Proceedings

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Kommunikasjon om medikamentbruk i henvisninger, innleggelsesskriv og epikriser

Abstract: Proper communication about drug use seems to have low priority and patients are often admitted to and discharged from the hospital with insufficient information. Patients should have a paper version of their medication list until such information is available electronically.

Cited by 10 publications

References 8 publications

Electronic optional guidelines as a tool to improve the process of referring patients to specialized care: An intervention study

Electronic optional guidelines as a tool to improve the process of referring patients to specialized care: An intervention study

Influence of hospitalization on prescribing safety across the continuum of care: an exploratory study

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

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