Impact of pharmacist‐led medication reconciliation on admission using electronic medical records on accuracy of discharge prescriptions

Autor: Dona Lawrence, Noman Masood, Dawn Astles, Ata Ul. Bari, Claire E. Fitzgerald
Rok vydání: 2015
Předmět:
Zdroj: Journal of Pharmacy Practice and Research. 45:166-173
ISSN: 2055-2335
1445-937X
Popis: Background Unintentional medication errors are common at hospital discharge and have the potential to cause significant patient harm. Current electronic medical records systems offer the facility to change the process of medication reconciliation by pharmacists. Aim To test the impact of pharmacist-led medication reconciliation at admission recorded on the electronic medication form, on the timeliness and accuracy of discharge prescriptions. Method A prospective pre- and post-interventional observational study was carried out from June to October 2013 at two district hospitals. Pharmacists recorded admission medication using National Medication Management Plan (phase 1) and the electronic medication form in patients’ electronic medical records (phase 2). Data collected included time taken for the medical officer to complete the medication form in electronic medical records, the number of times the medical officer was contacted by the pharmacist completing the discharge reconciliation and unintentional discharge medication discrepancy types. Results In total 118 patients were included: 66 patients in phase 1 and 52 in phase 2. Data were analysed using chi-squared test, Fisher's exact test and Mann–Whitney test. There was a significant (33–13%, p
Databáze: OpenAIRE
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