MEDICATION LIST ASSESSMENT IN SPANISH HOSPITAL EMERGENCY DEPARTMENTS

被引：18

作者：

Baena Parejo, Maria Isabel ^{[1
]}

Juanes Borrego, Ana Maria ^{[2
]}

Altimiras Ruiz, Joan ^{[3
]}

Crespi Monjo, Mar ^{[4
]}

Garcia-Pelaez, Milagros ^{[5
]}

Calderon Hernanz, Beatriz ^{[6
]}

Calleja Hernandez, Miguel Angel ^{[7
]}

Chinchilla Fernandez, Maria Isabel ^{[7
]}

Prats Riera, Margarita ^{[8
,9
]}

Garcia Sanchez, Raquel ^{[10
]}

Garcia Sanchez, Laura ^{[11
]}

Vazquez Lopez, Cristina ^{[12
]}

Mauleon Echeverria, Maria Dolores ^{[13
]}

Mas Serrano, Patricio ^{[14
]}

机构：

[1] Minist Hlth, Cordoba, Spain

[2] Hosp Santa Creu & Sant Pau, Dept Pharm, Barcelona, Spain

[3] Fundacio St Hosp, La Seu Durgell, Spain

[4] Hosp Son Espases, Dept Pharm, Palma De Mallorca, Spain

[5] Corp Sanitaria Parc Tauli, Dept Pharm, Sabadell 08208, Spain

[6] Hosp Son Llatzer Palma Mallorca, Dept Pharm, Palma de Mallorca, Spain

[7] Univ Hosp Virgen de las Nieves, Dept Pharm, Granada, Spain

[8] Hosp Formentera, Dept Pharm, Ibiza, Spain

[9] Hosp Can Misses, Ibiza, Spain

[10] Univ Hosp Gregorio Maranon, Dept Pharm, Madrid, Spain

[11] Badalona Serv Assitencials, Dept Pharm, Badalona, Spain

[12] Univ Hosp Meixoeiro, Dept Pharm, Vigo, Spain

[13] Univ Hosp Donostia, Dept Pharm, Donostia San Sebastian, Spain

[14] Univ Hosp Alicante, Dept Pharm, Alicante, Spain

来源：

JOURNAL OF EMERGENCY MEDICINE | 2015年 / 48卷 / 04期

关键词：

emergency department; pharmacy; medication list; medication records; pharmaceutical care; INTERNAL-MEDICINE; RECONCILIATION; ADMISSION; HISTORIES; DISCREPANCIES; ERRORS; RECORDS;

D O I：

10.1016/j.jemermed.2014.06.063

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Medication errors lead to morbidity and mortality among emergency department (ED) patients. An inaccurate medication history is one of the underlying causes of these errors. Objectives: This study was performed to determine the prevalence of patients with discrepancies between the medical list information contained in the clinical history compiled on admission to the ED and the list of medications patients are actually taking, to characterize the discrepancies found, and to analyze whether certain factors are associated with the risk of discrepancies. Methods: We conducted a cross-sectional, descriptive, observational, multicenter study with an analytic component in the EDs of 11 hospitals in Spain. We compared pharmacist-obtained medication lists (PML) with ED-obtained medication lists (EDML). Discrepancy was defined as one or more differences (in drug or dosage or route of administration) between the EDML and PML. The endpoints were the proportion of patients with discrepancies in their home medical lists, and the prevalence of certain factors among patients with discrepancies and those without. Results: We detected 1476 discrepancies in 387 patients; no discrepancies were found in 20.7%. The most frequent discrepancies involved incomplete information (44.2%) and omission (41.8%). In the bivariate analysis, age, number of medications, and Charlson comorbidity score were significantly associated with discrepancy. In the multi-variate analysis, number of medications and hospital were the variables associated with discrepancy. Conclusions: The EDML differed from the list of medications patients were actually taking in 79.3% of cases. Incomplete information and omission were the most frequent discrepancies. Age, number of medications, and comorbidities were related to the risk of discrepancies. (C) 2015 Elsevier Inc.

引用

页码：416 / 423

页数：8

共 26 条

[1]

Alfaro-Lara Eva Rocio, 2013, Rev Esp Geriatr Gerontol, V48, P103, DOI 10.1016/j.regg.2012.11.011

[2]

[Anonymous], 2007, Patient Safety Solutions Preamble

[3] THE ACCURACY OF MEDICATION HISTORIES IN THE HOSPITAL MEDICAL RECORDS OF ELDERLY PERSONS [J].