Pharmacy student-assisted medication reconciliation : Number and types of medication discrepancies identified by pharmacy students
Copyright: © Pharmacy Practice..
BACKGROUND: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution.
OBJECTIVE: To evaluate the number and type of medication discrepancies identified by pharmacy students.
METHODS: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.
RESULTS: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p<0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system.
CONCLUSIONS: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
Pharmacy practice - 19(2021), 3 vom: 01. Juli, Seite 2471 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Deep, Louise [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 27.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.18549/PharmPract.2021.3.2471 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM33162446X |
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| 500 | |a Date Revised 27.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright: © Pharmacy Practice. | ||
| 520 | |a BACKGROUND: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution | ||
| 520 | |a OBJECTIVE: To evaluate the number and type of medication discrepancies identified by pharmacy students | ||
| 520 | |a METHODS: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies | ||
| 520 | |a RESULTS: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p<0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system | ||
| 520 | |a CONCLUSIONS: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Cross-Sectional Studies | |
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| 650 | 4 | |a Medication Reconciliation | |
| 650 | 4 | |a Pharmaceutical Services | |
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| 700 | 1 | |a Do, Linda L |e verfasserin |4 aut | |
| 700 | 1 | |a Burke, Rosemary |e verfasserin |4 aut | |
| 700 | 1 | |a Penm, Jonathan |e verfasserin |4 aut | |
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