Incidence and Severity of Medication Reconciliation Discrepancies in Trauma Patients

Autor: Elisabeth G. Dunbar, Ashley C. Massey, Yannlei L. Lee, Maryann Mbaka, Christopher M. Kinnard, Andrew C. Bright, Ashley Y. Williams, Nathan M. Polite, Jon D. Simmons, Charles C. Butts
Rok vydání: 2023
Předmět:
Zdroj: The American Surgeon. :000313482311616
ISSN: 1555-9823
0003-1348
DOI: 10.1177/00031348231161686
Popis: Trauma patients are especially vulnerable to inadvertent medication reconciliation discrepancies. We conducted a prospective study to evaluate the USA Health University Hospital’s incidence and type of inadvertent medication reconciliation discrepancies among trauma patients. Patients were interviewed for accuracy of their admission medication reconciliation (AMR). Eighty-nine patients were included in this study. Twenty-six patients (29%) never received an AMR. There were 107 inadvertent medication reconciliation errors identified from 30 separate patients (48%), for a rate of 3.6 errors per patient with any error. There was a significant difference in the frequency of inadvertent medication reconciliation discrepancies for patients with >5 medication compared to those with fewer ( P = .00029). In conclusion, trauma centers must be adequately staffed to provide timely, accurate, and available medication lists so that patients can be appropriately cared for.
Databáze: OpenAIRE