Evaluation of the Accuracy of the Saskatchewan Health Pharmaceutical Information Program for Determining a Patient's Medication Use Immediately before Admission.
| Autor: | Tulloch J; BSP, ACPR, is with the College of Pharmacy, University of British Columbia, Vancouver, British Columbia., Evans B |
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| Jazyk: | angličtina |
| Zdroj: | The Canadian journal of hospital pharmacy [Can J Hosp Pharm] 2009 Jan; Vol. 62 (1), pp. 21-7. |
| DOI: | 10.4212/cjhp.v62i1.113 |
| Abstrakt: | Background: The Pharmaceutical Information Program (PIP) administered by Saskatchewan Health provides records for individual patients of prescription medications and some over-the-counter products obtained with a prescription and processed through the provincial drug plan. Use of the PIP to assist in obtaining a medication history on admission to hospital has been advocated; however, the accuracy of the database has never been investigated. Objective: To quantify the extent of agreement between a patient's PIP profile and a Best Possible Medication History (BPMH) for determining the patient's prescription medication use on admission to hospital. Methods: General medicine patients admitted to 1 of the 2 clinical teaching units at the authors' hospital were reviewed for eligibility. A copy of the patient's PIP profile was printed, reviewed, and used in the course of obtaining a BPMH from consenting patients. The number and type of medication discrepancies and the time required to complete medication histories were documented. Results: Fifty patients were interviewed. For 39 patients (78%), one or more prescription discrepancies were identified between the PIP profile and the BPMH (mean 2.0, standard deviation 2.3, range 0-6). The top 3 prescription discrepancies were medication incorrectly appeared inactive in the PIP profile (49/101 discrepancies [49%]), dosing discrepancy (28/101 [28%]), and medication did not appear in the PIP profile (13/101 [13%]). The most common reasons for prescription discrepancies were recent change in dosage or medication (18 [18%]), compliance packaging (13 [13%]), noncompliance (12 [12%]), and entry error at the dispensing pharmacy (12 [12%]). Mean total time to prepare for and conduct interviews was 22.5 min (range 10-54 min). Conclusion: A patient's PIP profile may contain incomplete, inaccurate, or misleading information. Although the profile may be used to prompt the health care provider during a BPMH interview, it should never be used as a substitute for communicating directly with the patient. |
| Databáze: | MEDLINE |
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