Medication reconciliation at hospital admission and discharge in an orthopedic surgery and traumatology department

Franco-Donat, M.; Soler-Company, E; Valverde-Mordt, C.; García-Muñoz, S.; Rocher-Milla, A.; Sangüesa-Nebot, M.J.

doi:10.1016/s1988-8856(10)70224-8

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…4 Medication reconciliation has demonstrated to improve safety and efficacy of medication prescribed between transitions of care, and reducing the risk of adverse events and consequently patients' medication-related morbidity and mortality. [5][6][7] Medication reconciliation is a three-stage process. The first stage consists of gathering the best possible medication history (BPMH), which represents a compilation of different sources of information to obtain a list with the current medications (prescribed and non-prescribed) the patient was using before the transfer of interface of care; the second stage involves comparing the BPMH with a list of the current prescribed medication at the new interface of care, with the aim of identifying discrepancies; and finally in the third stage, these discrepancies are 'reconciled' with the medical team by differentiating intentional and unintentional ones.…”

Section: Introductionmentioning

confidence: 99%

Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Oliveira

Cabral²,

Lavrador³

et al. 2020

Acta Med Port

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Introduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months.

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Section: Introductionmentioning

confidence: 99%

Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Oliveira

Cabral²,

Lavrador³

et al. 2020

Acta Med Port

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Perfil das Discrepâncias Obtidas por meio da Conciliação Medicamentosa em Pacientes Oncológicos: Revisão Integrativa da Literatura

Sousa

Tofani

Martins

2022

Rev. Bras. Cancerol.

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Introdução: O cuidado ao paciente oncológico demanda ações de uma equipe multiprofissional em virtude da complexidade do seu tratamento. Um dos serviços oferecidos pelo farmacêutico, visando a contribuir para segurança do paciente, é a conciliação medicamentosa capaz de detectar discrepâncias nas prescrições e prevenir erros de medicação. Objetivo: Traçar o perfil das principais discrepâncias encontradas na literatura em pacientes oncológicos durante a prática da conciliação medicamentosa realizada por farmacêuticos. Adicionalmente, visa-se a uma abordagem descritiva sobre as intervenções farmacêuticas realizadas nos estudos. Método: Revisão integrativa da literatura. Foram utilizados os descritores: “Medication Reconciliation”, “Neoplasms”, “Pharmacists”, “Medication Errors” para as estratégias de busca. As bases de dados selecionadas foram: PubMed, Web of Science, Embase e Scopus. Resultados: Inicialmente, identificaram-se 141 artigos. Destes, foram selecionados 11 trabalhos para serem discutidos. A conciliação medicamentosa foi realizada em pacientes na admissão hospitalar (27,3%), alta hospitalar (18,2%), e acompanhamento ambulatorial (54,5%). A maior parte era de estudos observacionais (72,7%) seguidos dos estudos de intervenção (27,3%). A principal discrepância relatada foi a de omissão/necessidade de adição de um medicamento (81,5%). As intervenções farmacêuticas estavam descritas mais detalhadamente em 36,4% das publicações. Conclusão: O estudo demonstrou a necessidade de mais trabalhos que correlacionem a prática da conciliação medicamentosa com a detecção de discrepâncias e intervenções farmacêuticas em Oncologia. Os farmacêuticos, objetivando a segurança do paciente, devem estruturar essa prática na vivência clínica dos pacientes oncológicos.

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Medication reconciliation at hospital admission and discharge in an orthopedic surgery and traumatology department

Cited by 2 publications

References 15 publications

Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Perfil das Discrepâncias Obtidas por meio da Conciliação Medicamentosa em Pacientes Oncológicos: Revisão Integrativa da Literatura

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