Validity of a nationwide medication record system in the Netherlands

被引:15
作者
Uitvlugt, Elien B. [1 ]
van den Bemt, Bart J. F. [2 ,3 ]
Chung, Wai Lung [1 ]
Dik, Jaap [4 ]
van den Bemt, Patricia M. L. A. [5 ]
Karapinar-Carkit, Fatma [1 ]
机构
[1] OLVG, Dept Hosp Pharm, Jan Tooropstr 164, NL-1061 AE Amsterdam, Netherlands
[2] Sint Maartensklin, Dept Pharm, Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Pharm, Nijmegen, Netherlands
[4] Pharm Monnikenhof, Vianen, Netherlands
[5] Erasmus MC, Univ Med Ctr Rotterdam, Dept Hosp Pharm, Rotterdam, Netherlands
关键词
Clinical pharmacy; Computerized medical records systems; Continuity of Patient Care; Information systems; Medication errors; Medication reconciliation; ADMISSION; HISTORY; ERRORS;
D O I
10.1007/s11096-019-00839-x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background In the Netherlands, a nationwide Medication Record System based on pharmacy dispensing data is used to obtain information about patients' actual medication use. However, it is not clear to what extent the information of the Nationwide Medication Record System corresponds to the medication information obtained with the Best Possible Medication History. Objective To examine the validity of medication dispensing records collected from the Nationwide Medication Record System by comparing them to the Best Possible Medication History. Method An observational study was performed. Patients from several hospital departments were included at admission. To obtain the Best Possible Medication History, pharmacy technicians performed medication reconciliation at admission, using dispensing records from the Nationwide Medication Record System and information from the patient himself. Primary outcome is percentage of patients with no discrepancies between the Nationwide Medication Record System and the Best Possible Medication History. Descriptive analysis was used. Results Eighty-two patients were approached and 66 (80%) were included, with in total 478 medicines in the Best Possible Medication History. Seventeen percent of the patients had no discrepancies and 33% (n=156) of the medication records contained a discrepancy between the Nationwide Medication Record System and the Best Possible Medication History. Most common type of discrepancy was omission (44%). Conclusion Even with a Nationwide Medication Record System medication reconciliation with the patient remains essential to obtain complete information about patient's actual medication use.
引用
收藏
页码:687 / 690
页数:4
相关论文
共 9 条
[1]   Impact of a Clinical Pharmacy Admission Medication Reconciliation Program on Medication Errors in "High-Risk" Patients [J].
Buckley, Mitchell S. ;
Harinstein, Lisa M. ;
Clark, Kimberly B. ;
Smithburger, Pamela L. ;
Eckhardt, Doug J. ;
Alexander, Earnest ;
Devabhakthuni, Sandeep ;
Westley, Craig A. ;
David, Butch ;
Kane-Gill, Sandra L. .
ANNALS OF PHARMACOTHERAPY, 2013, 47 (12) :1599-1610
[2]   Unintended medication discrepancies at the time of hospital admission [J].
Cornish, PL ;
Knowles, SR ;
Marchesano, R ;
Tam, V ;
Shadowitz, S ;
Juurlink, DN ;
Etchells, EE .
ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (04) :424-429
[3]   Responsible e-Prescribing Needs e-Discontinuation [J].
Fischer, Shira ;
Rose, Adam .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (05) :469-470
[4]   The use of nationwide on-line prescription records improves the drug history in hospitalized patients [J].
Glintborg, Bente ;
Poulsen, Henrik E. ;
Dalhoff, Kim P. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2008, 65 (02) :265-269
[5]  
IHI, 2011, PREVENT ADVERSE DRUG
[6]   Deficits in communication and information transfer between hospital-based and primary care physicians - Implications for patient safety and continuity of care [J].
Kripalani, Sunil ;
LeFevre, Frank ;
Phillips, Christopher O. ;
Williams, Mark V. ;
Basaviah, Preetha ;
Baker, David W. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 297 (08) :831-841
[7]   Assessing accuracy of an electronic provincial medication repository [J].
Price, Morgan ;
Bowen, Mike ;
Lau, Francis ;
Kitson, Nicole ;
Bardal, Stan .
BMC MEDICAL INFORMATICS AND DECISION MAKING, 2012, 12
[8]  
Smallwood KE, 2018, INT J PHARM PRACT, V26, P4
[9]   Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review [J].
Tam, VC ;
Knowles, SR ;
Cornish, PL ;
Fine, N ;
Marchesano, R ;
Etchells, EE .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2005, 173 (05) :510-515