Medication reconciliation in a department of internal medicine and infectious and tropical diseases: Feedback after one year practice

被引：1

作者：

Bravo, P. ^{[1
]}

Martinez, L. ^{[1
]}

Metzger, S. ^{[1
]}

Noble, E. Da Costa ^{[1
]}

Meckenstock, R. ^{[2
]}

Greder-Belan, A. ^{[2
]}

Parnet, L. ^{[3
]}

Samdjee, F. ^{[1
]}

Azan, S. ^{[1
]}

机构：

[1] Ctr Hosp Versailles, Pharm, 177 Rue Versailles, F-78150 Le Chesnay, France

[2] Ctr Hosp Versailles, Med Interne & Malad Infect, 177 Rue Versailles, F-78150 Le Chesnay, France

[3] Ctr Hosp Versailles, Geriatrie Aigue Polyvalente, 177 Rue Versailles, F-78150 Le Chesnay, France

来源：

REVUE DE MEDECINE INTERNE | 2019年 / 40卷 / 05期

关键词：

Medication reconciliation; Teamwork doctor/pharmacist; Internal medicine; Drug discrepancies; Patient care security; CLINICAL IMPACT; ERRORS; DISCREPANCIES; PHARMACISTS; ADMISSION; HISTORY;

D O I：

10.1016/j.revmed.2018.08.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Since April 2015, medication reconciliation is performed in our Department. The objective of this study is to assess the impact of this activity on patients' care after one year of practice. Methods. - All patients who received medication reconciliation between April-October 2015 and June-December 2016 were included in this retrospective study. Undocumented unintentional discrepancies (DNIND) which result from the comparison between the patient's usual treatments and the medication prescribed at admission were collected. Then, a multidisciplinary discussion was initiated to correct them. The gravity of each DNIND was determined a posteriori. Results. - A statistical comparison between the two studies (2015 vs. 2016) showed the following significant results: decrease in DNIND (0.9 vs. 0.43), in percentage of patients with at least one DNIND (43% vs 31% P <5.10(-6)), in reconciliation time (43 min vs. 23 min) and no significant difference in the distribution of DNIND typology. The main therapeutic classes are: metabolism-diabetes-nutrition (21%), cardiology (18%), pneumology (17%) and neurology-psychiatry (15%). Drugs mainly concerned with DNIND are inhaled anti-asthmatics (13% of the medicines with DNIND), vitamins (8% of DNIND) and the levetiracetam antiepileptic drug (5% of DNIND). Conclusion. - The implementation of the reconciliation medication allowed a significant reduction of the DNIND that permits to improve the patient healthcare pathway. (C) 2018 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

引用

页码：291 / 296

页数：6

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