Discrepancies Between the Medication List in Electronic Prescribing Systems and Patients' Actual Use of Medicines
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Discrepancies Between the Medication List in Electronic Prescribing Systems and Patients' Actual Use of Medicines. / Bülow, Cille; Flagstad Bech, Christine; Ullitz Faerch, Kirstine; Trærup Andersen, Jon; Byg Armandi, Helle; Treldal, Charlotte.
I: The Senior care pharmacist, Bind 34, Nr. 5, 2019, s. 317-324.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Discrepancies Between the Medication List in Electronic Prescribing Systems and Patients' Actual Use of Medicines
AU - Bülow, Cille
AU - Flagstad Bech, Christine
AU - Ullitz Faerch, Kirstine
AU - Trærup Andersen, Jon
AU - Byg Armandi, Helle
AU - Treldal, Charlotte
PY - 2019
Y1 - 2019
N2 - Discrepancies between electronic prescribing systems and patients' actual use of medicines can result in adverse events and medication errors and have serious consequences for the patients. The discrepancies can be identified when performing a thorough medication reconciliation. Computerized health care systems throughout the Danish health care sector are integrated with the Shared Medication Record (SMR). In the SMR, current medication and medication prescriptions are registered. The aim of this study was to evaluate the number and types of discrepancies between medications listed in the SMR and an updated medication list, obtained through a thorough medication reconciliation, for patients admitted in Danish hospitals. Pharmacists listed the number and type of discrepancies for 412 patients. A total of 1,004 discrepancies were registered, with a mean number of 2.4 medication discrepancies per patient. For 25% (n = 101) of the patients, no discrepancies were found, 20% (n = 86) had one discrepancy, and 16% (n = 66) had five or more discrepancies. More than 50% of the patients had one or more medications in the SMR that the patient did not administer, and 12.6% used medications that were not listed in the SMR. This shows that the SMR should not be used as the only source of information when recording medication history.
AB - Discrepancies between electronic prescribing systems and patients' actual use of medicines can result in adverse events and medication errors and have serious consequences for the patients. The discrepancies can be identified when performing a thorough medication reconciliation. Computerized health care systems throughout the Danish health care sector are integrated with the Shared Medication Record (SMR). In the SMR, current medication and medication prescriptions are registered. The aim of this study was to evaluate the number and types of discrepancies between medications listed in the SMR and an updated medication list, obtained through a thorough medication reconciliation, for patients admitted in Danish hospitals. Pharmacists listed the number and type of discrepancies for 412 patients. A total of 1,004 discrepancies were registered, with a mean number of 2.4 medication discrepancies per patient. For 25% (n = 101) of the patients, no discrepancies were found, 20% (n = 86) had one discrepancy, and 16% (n = 66) had five or more discrepancies. More than 50% of the patients had one or more medications in the SMR that the patient did not administer, and 12.6% used medications that were not listed in the SMR. This shows that the SMR should not be used as the only source of information when recording medication history.
KW - Drug Prescriptions
KW - Electronic Prescribing
KW - Humans
KW - Medication Errors
KW - Medication Reconciliation
KW - Pharmacists
U2 - 10.4140/TCP.n.2019.317
DO - 10.4140/TCP.n.2019.317
M3 - Journal article
C2 - 31054590
VL - 34
SP - 317
EP - 324
JO - The Senior care pharmacist
JF - The Senior care pharmacist
SN - 2639-9636
IS - 5
ER -
ID: 238486406