[Reconciliation errors at admission and departure in old and polymedicated patients. Prospective, multicenter randomized study]. / Errores de conciliación en el ingreso y en el alta hospitalaria en pacientes ancianos polimedicados. Estudio prospectivo aleatorizado multicéntrico.

BACKGROUND AND OBJECTIVE: The objective of this study was to know of the incidence rate of reconciliation errors in elderly poly-medicated patients. PATIENTS AND METHOD: A prospective randomized multicenter study in a cohort of patients at admission or at discharge. Any unjustified discrepancy in medication between chronic treatment and the treatment prescribed in the hospital was considered as a Reconciliation Error. RESULTS: From January 2006 to April 2008 603 patients were analyzed: 318 (52.7%) showed at least one Reconciliation Error. The patients had a total of 3.991 medications registered, 2.340 (59%) showed no discrepancies, 970 (24%) HAD justified discrepancies and 644 (16%) not justified; in 37 (1%) it was not possible to determine whether this was an error or not. Of the 644 unjustified discrepancies, 555 were accepted by the doctor as Reconciliation Errors. Reconciliation Error rate of 13.9%. CONCLUSION: According to this study, 52.7% of elderly poly-medicated patients have reconciliation errors during hospitalization. Medication reconciliation should be a strategic objective to increase the safety of patients.

Errores de conciliación en el ingreso y en el alta hospitalaria en pacientes ancianos polimedicados. Estudio prospectivo aleatorizado multicéntrico / Reconciliation errors at admission and departure in old and polymedicated patients. Prospective, multicenter randomized study

Fundamento y objetivo: El objetivo del estudio es conocer la incidencia de los errores de conciliación en el ingreso y en el alta hospitalaria en pacientes ancianos polimedicados así como los factores de riesgo asociados. Pacientes y método: Estudio prospectivo aleatorizado y multicéntrico en el ingreso o en el alta hospitalaria. Cualquier discrepancia no justificada entre el tratamiento crónico y el prescrito en el hospital se consideró un error de conciliación. Resultados: Se incluyeron 603 pacientes, de los cuales 318 (52,7%) presentaron al menos un error de conciliación. De las 3.991 prescripciones, 2.340 prescripciones (59%) no mostraron discrepancias, mientras que 970 prescripciones (24%) fueron discrepancias justificadas y 644 prescripciones (16%) fueron discrepancias no justificadas; en 37 prescripciones (1%) no fue posible determinarlo. De las 644 discrepancias no justificadas, en 555 discrepancias, el médico las aceptó como error de conciliación (tasa de errores de conciliación del 13,9%). Discusión: El 52,7% de los pacientes ancianos polimedicados presentaron errores de conciliación durante su estancia hospitalaria, lo que implica el 13,9% de los medicamentos. La conciliación de la medicación debe ser un objetivo estratégico para mejorar la seguridad de los pacientes (AU)

Background and objective: The objective of this study was to know of the incidence rate of reconciliation errors in elderly poly-medicated patients. Patients and method: A prospective randomized multicenter study in a cohort of patients at admission or at discharge. Any unjustified discrepancy in medication between chronic treatment and the treatment prescribed in the hospital was considered as a Reconciliation Error. Results: From January 2006 to April 2008 603 patients were analyzed: 318 (52.7%) showed at least one Reconciliation Error. The patients had a total of 3.991 medications registered, 2.340 (59%) showed no discrepancies, 970 (24%) HAD justified discrepancies and 644 (16%) not justified; in 37 (1%) it was not possible to determine whether this was an error or not. Of the 644 unjustified discrepancies, 555 were accepted by the doctor as Reconciliation Errors. Reconciliation Error rate of 13.9%. Conclusion: According to this study, 52.7% of elderly poly-medicated patients have reconciliation errors during hospitalization. Medication reconciliation should be a strategic objective to increase the safety of patients (AU)

Coordinación internivel: proceso clave para la calidad asistencial / Inter-level coordination: key procedure for quality of care

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Conciliación de la medicación / Conciliation in medication

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