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The rate and nature of medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led medication reconciliation

Waleij, Leila LU ; Eriksson, Tommy LU ; Höglund, Peter LU and Midlöv, Patrik LU (2014) In European Journal of Hospital Pharmacy: Science and Practice 21(3). p.156-160
Abstract
Objectives To determine the frequency and nature of erroneous transfer of medication information (medication errors) upon admission to hospital and to study the effect of medication reconciliation. Methods Included patients were 65years of age or older, were living in nursing homes or in their own home with care provided by the community nursing system and had been admitted to hospital. The patients' medication lists from the community were compared with the hospital medication lists upon admission in order to study the discrepancies between the lists. The proportion of errors that were corrected by day 4 of hospitalisation was also studied as a measure of the effect of medication reconciliation conducted by clinical pharmacists who aimed... (More)
Objectives To determine the frequency and nature of erroneous transfer of medication information (medication errors) upon admission to hospital and to study the effect of medication reconciliation. Methods Included patients were 65years of age or older, were living in nursing homes or in their own home with care provided by the community nursing system and had been admitted to hospital. The patients' medication lists from the community were compared with the hospital medication lists upon admission in order to study the discrepancies between the lists. The proportion of errors that were corrected by day 4 of hospitalisation was also studied as a measure of the effect of medication reconciliation conducted by clinical pharmacists who aimed to identify the patients' accurate and complete medication history. Results A total of 149 patients were included over a 10-month period. In 68 (46%) patients, there occurred at least one medication error, with an average of 0.95 errors per patient. Overall, 8.0% of all drug transfers were found to be incorrect. The clinical pharmacists detected all medication errors upon admission and 43% of them were corrected before day 4 of hospitalisation. Conclusions Medication errors upon admission to hospital are common; use of clinical pharmacists in the admission medication reconciliation process appears to be a useful method to reduce medication errors, but since our study lacked a control group further studies are needed to show the actual impact of pharmacist-led medication reconciliation upon admission to hospital. Furthermore, more actions are needed to enhance the safety and quality of medication information transfers. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Clinical Pharmacy, Geriatric Medicine, Medical Errors
in
European Journal of Hospital Pharmacy: Science and Practice
volume
21
issue
3
pages
156 - 160
publisher
BMJ Publishing Group
external identifiers
  • wos:000337695600006
  • scopus:84901266149
ISSN
2047-9964
DOI
10.1136/ejhpharm-2013-000403
language
English
LU publication?
yes
id
fce685ed-3e93-4d89-9d01-d354aeafbad9 (old id 4609669)
date added to LUP
2014-09-01 07:45:09
date last changed
2017-09-17 03:06:04
@article{fce685ed-3e93-4d89-9d01-d354aeafbad9,
  abstract     = {Objectives To determine the frequency and nature of erroneous transfer of medication information (medication errors) upon admission to hospital and to study the effect of medication reconciliation. Methods Included patients were 65years of age or older, were living in nursing homes or in their own home with care provided by the community nursing system and had been admitted to hospital. The patients' medication lists from the community were compared with the hospital medication lists upon admission in order to study the discrepancies between the lists. The proportion of errors that were corrected by day 4 of hospitalisation was also studied as a measure of the effect of medication reconciliation conducted by clinical pharmacists who aimed to identify the patients' accurate and complete medication history. Results A total of 149 patients were included over a 10-month period. In 68 (46%) patients, there occurred at least one medication error, with an average of 0.95 errors per patient. Overall, 8.0% of all drug transfers were found to be incorrect. The clinical pharmacists detected all medication errors upon admission and 43% of them were corrected before day 4 of hospitalisation. Conclusions Medication errors upon admission to hospital are common; use of clinical pharmacists in the admission medication reconciliation process appears to be a useful method to reduce medication errors, but since our study lacked a control group further studies are needed to show the actual impact of pharmacist-led medication reconciliation upon admission to hospital. Furthermore, more actions are needed to enhance the safety and quality of medication information transfers.},
  author       = {Waleij, Leila and Eriksson, Tommy and Höglund, Peter and Midlöv, Patrik},
  issn         = {2047-9964},
  keyword      = {Clinical Pharmacy,Geriatric Medicine,Medical Errors},
  language     = {eng},
  number       = {3},
  pages        = {156--160},
  publisher    = {BMJ Publishing Group},
  series       = {European Journal of Hospital Pharmacy: Science and Practice},
  title        = {The rate and nature of medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led medication reconciliation},
  url          = {http://dx.doi.org/10.1136/ejhpharm-2013-000403},
  volume       = {21},
  year         = {2014},
}