Experiences from the implementation of structured patient discharge information for safe medication reconciliation at a Swedish university hospital
(2011) In EJHP Science 17(2). p.42-49- Abstract
- Study objectives:
A method for medication reconciliation that reduces medication errors and healthcare contacts when a patient is discharged from hospital, LIMM-DI (Lund integrated medicines management-discharge information) had been previously developed by the authors. LIMM-DI is structured information written for the patient and sent to the next caregiver. In this study, the use (implementation ratio) and errors when used were measured.
Methods:
During two three-week periods in 2008 and 2009 information on the use of LIMM-DI for every discharged patient at Skåne University Hospital in Lund, Sweden was collected. Medication errors and quality by chart reviews based on a previously developed checklist... (More) - Study objectives:
A method for medication reconciliation that reduces medication errors and healthcare contacts when a patient is discharged from hospital, LIMM-DI (Lund integrated medicines management-discharge information) had been previously developed by the authors. LIMM-DI is structured information written for the patient and sent to the next caregiver. In this study, the use (implementation ratio) and errors when used were measured.
Methods:
During two three-week periods in 2008 and 2009 information on the use of LIMM-DI for every discharged patient at Skåne University Hospital in Lund, Sweden was collected. Medication errors and quality by chart reviews based on a previously developed checklist were also measured. The focus was placed on the medication report—which medications have been changed and why—and the medication list, two vital parts of LIMM-DI.
Results:
One hundred and thirty eight (27%) and 163 (31%) of the patients received LIMM-DI in periods 1 and 2, respectively. The mean number of errors per patient decreased from period 1 to 2 in the medication list (6.5 [standard deviation, SD, 6.0] versus 3.9 (SD, 4.2), p = 0.00098) but not in the medication report (5.3 [SD, 6.3] versus 5.3 [SD, 5.9], p = 0.99).
Conclusion:
Contrary to expectations, the implementation of LIMM-DI was slow and there was no great reduction in the number of medication errors. There is a need to improve the current strategy and to consider alternative strategies for
improving patient safety in the discharge medication reconciliation process. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3053683
- author
- Eriksson, Tommy LU ; Höglund, Peter ; Holmdahl, Lydia and Bondesson, Åsa ÅB LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- * Discharge information * hospital * medication errors/report * medication reconciliation * quality
- in
- EJHP Science
- volume
- 17
- issue
- 2
- pages
- 42 - 49
- publisher
- Pharma Publishing and Media Europe
- ISSN
- 1781-7595
- language
- English
- LU publication?
- yes
- id
- 54b90dd6-e70b-4ff8-8e45-61f6bde7ff0c (old id 3053683)
- date added to LUP
- 2016-04-01 14:14:12
- date last changed
- 2018-11-21 20:24:45
@article{54b90dd6-e70b-4ff8-8e45-61f6bde7ff0c, abstract = {{Study objectives: <br/><br> A method for medication reconciliation that reduces medication errors and healthcare contacts when a patient is discharged from hospital, LIMM-DI (Lund integrated medicines management-discharge information) had been previously developed by the authors. LIMM-DI is structured information written for the patient and sent to the next caregiver. In this study, the use (implementation ratio) and errors when used were measured.<br/><br> <br/><br> Methods: <br/><br> During two three-week periods in 2008 and 2009 information on the use of LIMM-DI for every discharged patient at Skåne University Hospital in Lund, Sweden was collected. Medication errors and quality by chart reviews based on a previously developed checklist were also measured. The focus was placed on the medication report—which medications have been changed and why—and the medication list, two vital parts of LIMM-DI.<br/><br> <br/><br> Results: <br/><br> One hundred and thirty eight (27%) and 163 (31%) of the patients received LIMM-DI in periods 1 and 2, respectively. The mean number of errors per patient decreased from period 1 to 2 in the medication list (6.5 [standard deviation, SD, 6.0] versus 3.9 (SD, 4.2), p = 0.00098) but not in the medication report (5.3 [SD, 6.3] versus 5.3 [SD, 5.9], p = 0.99).<br/><br> <br/><br> Conclusion: <br/><br> Contrary to expectations, the implementation of LIMM-DI was slow and there was no great reduction in the number of medication errors. There is a need to improve the current strategy and to consider alternative strategies for<br/><br> improving patient safety in the discharge medication reconciliation process.}}, author = {{Eriksson, Tommy and Höglund, Peter and Holmdahl, Lydia and Bondesson, Åsa ÅB}}, issn = {{1781-7595}}, keywords = {{* Discharge information * hospital * medication errors/report * medication reconciliation * quality}}, language = {{eng}}, number = {{2}}, pages = {{42--49}}, publisher = {{Pharma Publishing and Media Europe}}, series = {{EJHP Science}}, title = {{Experiences from the implementation of structured patient discharge information for safe medication reconciliation at a Swedish university hospital}}, url = {{https://lup.lub.lu.se/search/files/3858498/3131131.pdf}}, volume = {{17}}, year = {{2011}}, }