Impact of a Pharmacy-Initiated HIV Admission Note on Medication Errors within an Academic Hospital
| Autor: | Frank Romanelli, Emily S. Sterling, Ardis D. Hoven, Craig A. Martin, Kelly M. Smith |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Pharmacology
medicine.medical_specialty business.industry Human immunodeficiency virus (HIV) Psychological intervention Pharmacy Hiv management medicine.disease_cause Institutional review board medicine.disease 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Emergency medicine Medicine Pharmacology (medical) Dosage adjustment 030212 general & internal medicine Medical emergency business Admission note Dosing Frequency |
| Zdroj: | Hospital Pharmacy. 40:874-881 |
| ISSN: | 1945-1253 0018-5787 |
| DOI: | 10.1177/001857870504001006 |
| Popis: | Purpose Medication errors occur frequently in the medical management of patients infected with human immunodeficiency virus (HIV). Recent studies propose the use of a pharmacy admission note to help identify and prevent such errors during hospitalization. However, a clear reduction in the number of antiretroviral medication errors utilizing an admission note within a large, academic hospital has yet to be confirmed. Methods A retrospective, chart-review of hospitalized HIV-seropositive patients 1 year prior to and after implementation of an admission note policy was performed with the expedited Institutional Review Board (IRB) approval. Antiretroviral medication errors were identified and compared to documented pharmacy interventions at the time of admission. Results Twenty-seven antiretroviral medication errors existed in the pre-policy period (n = 32 admissions), with no identification or correction by pharmacy services at the time of admission. Forty-six antiretroviral medication errors were detected in the post-policy period (n = 59 admissions), of which three errors were identified in pharmacy admission notes. Common antiretroviral medication errors in the pre-policy period included incorrect dosing frequency (33.3%) and incorrect drug strength (33.3%). This contrasts with the post-policy period, during which the most frequent antiretroviral medication errors included missing antiretroviral components of known regimens (19.6%) and lack of renal or hepatic dosage adjustment (15.2%). Overall, no improvement in detection and reconciliation of medication errors occurred with admission note implementation. Conclusions Potential obstacles in the effective use of an admission note to reduce errors do exist. Strategies for improved outcomes in our academic hospital will focus on improved training of general pharmacy staff in HIV management, providing accessible online resources, and emphasizing reconciliation between outpatient and inpatient medication regimens. |
| Databáze: | OpenAIRE |
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