Medication Reconciliation: A Prospective Study in an Internal Medicine Unit.
Background: Medication reconciliation has proved its effectiveness at improving drug-prescription safety. This study was undertaken to assess the impact of an intervention aimed at decreasing the discrepancies between a patient's usual treatment(s) and medications prescribed at admission. Methods: O...
| Publicado en: | Drugs & Aging Vol. 31; no. 5; pp. 387 - 394 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103935097&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103935097 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1170229X C5B jtl: Drugs & Aging issn: 1170229X maglogo: N pubinfo: dt: May2014 vid: 31 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103935097 95695237 10.1007/s40266-014-0167-3 NLM24659397 103935097 ppf: 387 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Medication Reconciliation: A Prospective Study in an Internal Medicine Unit. aug: au: Andreoli, Laura Alexandra, Jean-François Tesmoingt, Chloé Eerdekens, Charlotte Macrez, Annick Papo, Thomas Arnaud, Philippe Papy, Emmanuelle affil: Department of Clinical Pharmacy, Bichat-Claude Bernard University Hospital, AP-HP, Paris France sug: subj: Medication Reconciliation Evaluation Outcome Assessment Human Prospective Studies Male Female Aged Aged, 80 and Over Internal Medicine Hospital Units Aged: 65+ years Aged, 80 & over Male Female ab: Background: Medication reconciliation has proved its effectiveness at improving drug-prescription safety. This study was undertaken to assess the impact of an intervention aimed at decreasing the discrepancies between a patient's usual treatment(s) and medications prescribed at admission. Methods: Our study was conducted from November 2010 to May 2011. Discrepancies between home medication(s) and drugs prescribed to every patient aged ≥65 years, transferred from the Emergency Department and hospitalized in the Internal Medicine Unit, were analyzed. Results: During this 6-month period, 170 patients were prospectively included, with a total of 1,515 medicines reconciled. The unintentional discrepancy rate declined from 4.3 to 0.9 % after the intervention. The main sources of discrepancies concerned alimentary tract and metabolism (25.7 %), cardiovascular (24 %), and nervous system drugs (19.4 %). Conclusions: The results of this study demonstrated that acquisition of patients' medication history is often incomplete or incorrect. Pharmacists seem to be especially well suited to help medical teams rectify this situation. However, the cost effectiveness of this intervention needs further assessment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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