Predictors for unintentional medication reconciliation discrepancies in preadmission medication: a systematic review

Abstract

Multiple suitable predictors for PAM-related discrepancies were identified of which higher age and polypharmacy were reported most frequently.

The Electronic Pharmaceutical Record: A new method for medication reconciliation

“…Besides, our results were close to those of another study. Hias et al revealed that polypharmacy was a factor that explained the increased risk of discrepancies on patient admission. Finally, by providing exhaustive data on the medication supply over the past 4 months, the ePR prevents the risk of forgetting a practitioner prescription.…”

“…Trinh‐Duc et al reported in their study (on an emergency unit) that the ePR was the only source of information available for 25% of the cases . The ePR could also be useful for other populations, especially to meet the challenge of MedRec for elderly patients on multiple drugs, particular features predictive of the occurrence of unintentional discrepancies …”

“…Polypharmacy in this population is substantial and a leading cause of medication interactions, especially as the care pathway involves many medical specialists. Recently, elderly patients (>65 years old) and polypharmacy were identified as the most commonly reported predictors for unintentional medication discrepancies . Finally, such polypharmacy in an aging population leads to a risk of nonadherence …”

“…9 The ePR could also be useful for other populations, especially to meet the challenge of MedRec for elderly patients on multiple drugs, particular features predictive of the occurrence of unintentional discrepancies. 10 Patients with diabetes are at risk for iatrogenic outcomes. Firstly, patients with diabetes are elderly.…”

“…Recently, elderly patients (>65 years old) and polypharmacy were identified as the most commonly reported predictors for unintentional medication discrepancies. 10 Finally, such polypharmacy in an aging population leads to a risk of nonadherence. 15 The main objective of this study was to evaluate the ePR as an effective MedRec resource based on the number of unintentional discrepancies identified after standard MedRec, and their clinical impact.…”