Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden

Fernholm, Rita; Wachtler, Caroline; Malm-Willadsen, Karolina; Holzmann, Martin J.; Carlsson, Axel C.; Nilsson, Gunnar; Härenstam, Karin Pukk

doi:10.1080/02813432.2020.1841531

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Health care professionals in primary care work under considerable time pressure and have to prioritize their efforts in daily practice. Indeed, lack of time has recently been ranked high by health care professionals in primary care regarding the risk of medication errors [ 27 ]. Further, actions that can be achieved with reasonable efforts in relation to the patient benefit have been reported to get a higher priority [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study

López

Svensson

Wallerstedt

2021

Scandinavian Journal of Primary Health Care

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Objective: To investigate the association between a recorded procedure code for a medication review and adequate drug treatment management, and to explore factors associated with this code. Design and setting: Cross-sectional study; two primary health care centres, in Region V€ astra G€ otaland, Sweden. Subjects: A total of 302 consecutive patients (65 years old, 59% female; median number of drugs: six) requiring a non-urgent consultation with a physician in October-November 2017. Main outcome measure: Adequate drug treatment management (treatment that did not require any further action), determined in consensus by two specialists in family medicine blinded to the medication review code. Results: Adequate drug treatment management was, overall, less common in those with a recorded medication review over the last year: 63% versus 73% (p ¼ 0.047). This negative association was evident among patients aged 65-74 years: 49% versus 74% (p ¼ 0.003), but absent in those 75 years old: 67% versus 70% (p ¼ 0.77). Recommendations from consensus included the search for additional information to be able to make a decision regarding initiation or withdrawal of a drug (n ¼ 53), withdrawal of a drug (n ¼ 41), or ordering a laboratory test (n ¼ 25). Factors associated with a recorded procedure code included age above the remuneration limit of 75 years (odds ratio: 9.8; 95% confidence interval 5.0-19), type 2 diabetes (3.0 (1.5-6.2)), hypertension (2.4 (1.2-4.8)), and depression (2.5 (1.02-6.0)). Conclusions: The presence of a recorded medication review was not positively associated with adequate drug treatment management but was associated with the age limit for remuneration, and some chronic diseases. KEY POINTSTo improve drug treatment in older people in primary care, a remuneration system linked to recorded medication reviews has been introduced. In this study, fewer patients with than without a recorded medication review (63% versus 73%) had adequate drug treatment management. A recorded medication review was ten times more common in those 75 years, that is, the age limit for remuneration. Recorded codes for medication reviews were also common in those with type type 2 diabetes, hypertension, and depression.

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Section: Discussionmentioning

confidence: 99%

Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study

López

Svensson

Wallerstedt

2021

Scandinavian Journal of Primary Health Care

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“…The same distribution as in the number of PhD candidates was seen with more men receiving the award between 2001 and 2010 and more women receiving the award between 2011 and 2020 (see Table 1 ). In 2020 a woman researcher was again given the award, and her dissertation about patient safety received Swedish media attention [ 6 , 7 ].…”

mentioning

confidence: 99%

More women than men achieve PhDs in Swedish family medicine but scientific impact was not gender skewed - a secular trend analysis 1980–2020.

Petrazzuoli

Thulesius

2021

Scandinavian Journal of Primary Health Care

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Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden

Cited by 2 publications

References 31 publications

Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study

Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study

More women than men achieve PhDs in Swedish family medicine but scientific impact was not gender skewed - a secular trend analysis 1980–2020.

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