Literature DB >> 31157069

An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions.

José Javier Arenas-Villafranca1, Manuela Moreno-Santamaría1, Carmen López Gómez1, Isabel Muñoz Gómez-Millán1, Elena Álvaro Sanz1, Begoña Tortajada-Goitia1.   

Abstract

OBJECTIVES: To describe a medication reconciliation (MR) procedure prepared by the pharmacist for patients admitted for elective surgery and to assess the surgeon's degree of acceptance.
METHODS: A 1-year retrospective observational study was conducted. The patient population consisted of patients aged ≥18 years admitted during 2016 for elective surgery and whose planned length of hospital stay was >24 hours. A pharmacist performed MR following a specific protocol. A review of the reconciliations prescribed later by the surgeons was conducted. Statistical analyses were performed for qualitative and quantitative variables.
RESULTS: The pharmacist prepared a total of 1986 reconciliation reports. The 179 patients reviewed in this study had a mean age of 65.7±11.8 years, 49.2% were women and 98.9% of patients were reconciled by the surgeon in the operating theatre using an electronic prescribing system (85.5% were fully reconciled).
CONCLUSION: The hospital's MR protocol resulted in almost 100% of patients being reconciled within the subgroup of elective surgery patients by the prescribing surgeons.

Entities:  

Keywords:  elective surgery; medication errors; medication reconciliation; reconciliation reports

Year:  2018        PMID: 31157069      PMCID: PMC6457160          DOI: 10.1136/ejhpharm-2017-001392

Source DB:  PubMed          Journal:  Eur J Hosp Pharm        ISSN: 2047-9956


  12 in total

1.  Reconciliation of discrepancies in medication histories and admission orders of newly hospitalized patients.

Authors:  Kristine M Gleason; Jennifer M Groszek; Carol Sullivan; Denise Rooney; Cynthia Barnard; Gary A Noskin
Journal:  Am J Health Syst Pharm       Date:  2004-08-15       Impact factor: 2.637

2.  Acceptance and importance of clinical pharmacists' LIMM-based recommendations.

Authors:  Asa Bondesson; Lydia Holmdahl; Patrik Midlöv; Peter Höglund; Emmy Andersson; Tommy Eriksson
Journal:  Int J Clin Pharm       Date:  2012-01-18

3.  Perioperative pharmacology: a framework for perioperative medication safety.

Authors:  Rodney W Hicks; Linda Wanzer; Bradlee Goeckner
Journal:  AORN J       Date:  2011-01       Impact factor: 0.676

4.  Sources of pre-admission medication information: observational study of accuracy and availability.

Authors:  Michelle Fitzsimons; Tamasine Grimes; Mairead Galvin
Journal:  Int J Pharm Pract       Date:  2011-08-19

Review 5.  Hospital-based medication reconciliation practices: a systematic review.

Authors:  Stephanie K Mueller; Kelly Cunningham Sponsler; Sunil Kripalani; Jeffrey L Schnipper
Journal:  Arch Intern Med       Date:  2012-07-23

Review 6.  Impact of medication reconciliation and review on clinical outcomes.

Authors:  Elin C Lehnbom; Michael J Stewart; Elizabeth Manias; Johanna I Westbrook
Journal:  Ann Pharmacother       Date:  2014-07-21       Impact factor: 3.154

7.  Unintended medication discrepancies at the time of hospital admission.

Authors:  Patricia L Cornish; Sandra R Knowles; Romina Marchesano; Vincent Tam; Steven Shadowitz; David N Juurlink; Edward E Etchells
Journal:  Arch Intern Med       Date:  2005-02-28

8.  Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.

Authors:  Mitchell S Buckley; Lisa M Harinstein; Kimberly B Clark; Pamela L Smithburger; Doug J Eckhardt; Earnest Alexander; Sandeep Devabhakthuni; Craig A Westley; Butch David; Sandra L Kane-Gill
Journal:  Ann Pharmacother       Date:  2013-10-15       Impact factor: 3.154

9.  Reconcilable differences: correcting medication errors at hospital admission and discharge.

Authors:  T Vira; M Colquhoun; E Etchells
Journal:  Qual Saf Health Care       Date:  2006-04

Review 10.  Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

Authors:  Janice L Kwan; Lisha Lo; Margaret Sampson; Kaveh G Shojania
Journal:  Ann Intern Med       Date:  2013-03-05       Impact factor: 25.391

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