The Patient-Held Active Record of Medication Status (PHARMS) study: a mixed-methods feasibility analysis
| Autor: | Colin P Bradley, Elaine Walsh, Derina Byrne, Kieran Dalton, Kathleen O'Sullivan, Laura J. Sahm, Ciara Fitzgerald, Patricia M. Kearney, Eimear Connolly, Stephen McCarthy, William H. Smithson, David M. Kerins |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Medication Therapy Management General Practice Active record pattern 03 medical and health sciences 0302 clinical medicine Interquartile range Intervention (counseling) Hospital discharge Electronic Health Records Humans Medication Errors Medicine Clinical significance 030212 general & internal medicine Medical prescription Patient transfer business.industry Research 030503 health policy & services Continuity of Patient Care Focus Groups Middle Aged medicine.disease Patient Discharge Outcome and Process Assessment Health Care General practice Feasibility Studies Female Medical emergency 0305 other medical science Family Practice business Ireland |
| Zdroj: | Br J Gen Pract |
| ISSN: | 1478-5242 0960-1643 |
| Popis: | BackgroundMedication errors frequently occur as patients transition between hospital and the community, and may result in patient harm. Novel methods are required to address this issue.AimTo assess the feasibility of introducing an electronic patient-held active record of medication status device (PHARMS) at the primary–secondary care interface at the time of hospital discharge.Design and settingA mixed-methods study (non-randomised controlled intervention, and a process evaluation of qualitative interviews and non-participant observation) among patients >60 years in an urban hospital and general practices in Cork, Ireland.MethodThe number and clinical significance of errors were compared between discharge prescriptions of the intervention (issued with a PHARMS device) and control (usual care, handwritten discharge prescription) groups. Semi-structured interviews were conducted with patients, junior doctors, GPs, and IT professionals, in addition to direct observation of the implementation process.ResultsIn all, 102 patients were included in the final analysis (intervention n = 41, control n = 61). Total error number was lower in the intervention group (median 1, interquartile range [IQR] 0–3) than in the control group (median 8, IQR (4–13.5, PPConclusionThe results suggest that using PHARMS devices within existing systems in general practice and hospitals is feasible and acceptable to both patients and doctors, and may reduce medication error. |
| Databáze: | OpenAIRE |
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