Medication history on internal medicine wards: assessment of extra information collected from second drug interviews and GP lists.
Pharmacoepidemiol Drug Saf
; 12(6): 491-8, 2003 Sep.
Article
em En
| MEDLINE
| ID: mdl-14513663
ABSTRACT
PURPOSE:
To assess the extra information about patients' pre-admission medication that second drug interviews and general practitioners' (GP) drug lists add to routine medication histories.METHODS:
The medication histories of 81 patients from two medicine wards were compared with information collected from second interviews and GP drug lists. A panel of clinicians assessed the potential clinical impact of any discrepancies.RESULTS:
In nine cases (11% CI 6-20%) the medication history, the second interview and the GP lists were identical. The interviews revealed extra information about 54 prescription drugs and 72 over-the-counter drugs (OTCs) in 56 (69% CI 58-78%) cases. The GP lists added 74 prescription drugs and 26 OTCs to the medication histories in 57 (70% CI 60-79%) cases. Discrepancies were not associated with age, gender or number of drugs in medication history. In 18% (CI 10-30%) of the cases, the specialist panel ascribed potential clinical problems to missing drug information.CONCLUSIONS:
Second interviews and GP lists reveal extra information about pre-admission medication in two-thirds of cases. Both procedures should be routinely performed to compile a more comprehensive basis for drug prescribing. This approach may mend the course of roughly one in five patients.
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Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Médicos de Família
/
Prontuários Médicos
/
Entrevistas como Assunto
/
Departamentos Hospitalares
Tipo de estudo:
Qualitative_research
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pharmacoepidemiol Drug Saf
Ano de publicação:
2003
Tipo de documento:
Article