Medication reconciliation and review for older emergency patients requires improvement in Finland.
Int J Risk Saf Med
; 30(1): 19-31, 2019.
Article
em En
| MEDLINE
| ID: mdl-30103352
ABSTRACT
BACKGROUND:
10-30% of hospital stays by older patients are drug-related. The admission phase is important for identifying drug-related problems, but taking an incorrect medication history often leads to medication errors.OBJECTIVES:
To enhance medication history recording and identify drug-related problems (DRPs) of older patients admitted to emergency departments (EDs).METHODS:
DRPs were identified by pharmacists-led medication reconciliation and review procedures in two EDs in Finland; Helsinki University Hospital (HUS), and Kuopio University Hospital (KUH). One-hundred-and-fifty patients aged ≥65-years, living at home and using ≥6 medicines were studied.RESULTS:
100% of patients (Nâ=â75) in HUS and 99% in KUH (Nâ=â75), had discrepancies in their admission-medication chart recorded by the nurse or physician. Associations between admission-diagnosis and drug-related problems were found in 12 patients (16%) in HUS and 22 patients (29%) in KUH. Of these, high-alert medications (e.g. antithrombotics, cytostatics, opioids) were linked to eight patients (11%) in HUS and six patients (8%) in KUH. Other acute DRPs were identified in 19 patients (25%) in HUS and 54 patients (72%) in KUH. Furthermore, 67 patients (89%) in HUS and all patients in KUH had non-acute DRPs.CONCLUSIONS:
Medication reconciliation and review at admission of older ED patients requires improvement in Finland.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviço de Farmácia Hospitalar
/
Guias como Assunto
/
Polimedicação
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Serviço Hospitalar de Emergência
/
Reconciliação de Medicamentos
/
Erros de Medicação
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Aged
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Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int J Risk Saf Med
Ano de publicação:
2019
Tipo de documento:
Article