Summary

Medication reconciliation errors according to patient risk and type of physician prescriber identified by prescribing tool used

Bilbao Gómez-Martino C, Nieto Sánchez A, Fernández Pérez C, Borrego Hernando MI, Martín-Sánchez FJ


Affiliation of the authors

Servicio de Farmacia, Hospital Clínico San Carlos, Madrid, Spain. Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid. Universidad Complutense de Madrid, Spain. Servicio de Medicina Preventiva, Hospital Clínico San Carlos, Madrid. Unidad Transversal del IdISSC. Universidad Complutense de Madrid, Spain. Servicio de Urgencias, Hospital Clínico San Carlos, Madrid. IdISSC. Universidad Complutense de Madrid, Spain.

DOI

Quote

Bilbao Gómez-Martino C, Nieto Sánchez A, Fernández Pérez C, Borrego Hernando MI, Martín-Sánchez FJ. Medication reconciliation errors according to patient risk and type of physician prescriber identified by prescribing tool used. Emergencias. 2017;29:384-90

Summary

Objectives.

To study the frequency of medication reconciliation errors (MREs) in hospitalized patients and explore the profiles of patients at greater risk. To compare the rates of errors in prescriptions written by emergency physicians and ward physicians, who each used a different prescribing tool.

Methods.

Prospective cross-sectional study of a convenience sample of patients admitted to medical, geriatric, and oncology wards over a period of 6 months. A pharmacist undertook the medication reconciliation report, and data were analyzed for possible associations with risk factors or prescriber type (emergency vs ward physician).

Results.

A total of 148 patients were studied. Emergency physicians had prescribed for 68 (45.9%) and ward physicians for 80 (54.1%). A total of 303 MREs were detected; 113 (76.4%) patients had at least 1 error. No statistically significant

differences were found between prescriber types. Factors that conferred risk for a medication error were use polypharmacy (odds ratio [OR], 3.4; 95% CI, 1.2–9.0; P=.016) and multiple chronic conditions in patients under the age of 80 years (OR, 3.9; 95% CI, 1.1–14.7; P=.039).

Conclusion. The incidence of MREs is high regardless of whether the prescriber is an emergency or ward physician. The patients who are most at risk are those taking several medications and those under the age of 80 years who have multiple chronic conditions.

 

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