Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students
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.
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Centro de Investigaciones y Publicaciones Farmacéuticas
2021
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oai:scielo:S1885-642X20210003000152021-09-23Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy studentsDeep,LouiseSchneider,Carl RMoles,RebekahPatanwala,Asad E.Do,Linda LBurke,RosemaryPenm,Jonathan Medication Reconciliation Students, Pharmacy Professional Competence Pharmaceutical Services Medical History Taking Hospitalization Pharmacists Workforce Cross-Sectional Studies Australia 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.Centro de Investigaciones y Publicaciones FarmacéuticasPharmacy Practice (Granada) v.19 n.3 20212021-09-01journal articletext/htmlhttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1885-642X2021000300015en |
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Deep,Louise Schneider,Carl R Moles,Rebekah Patanwala,Asad E. Do,Linda L Burke,Rosemary Penm,Jonathan |
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Deep,Louise Schneider,Carl R Moles,Rebekah Patanwala,Asad E. Do,Linda L Burke,Rosemary Penm,Jonathan Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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Deep,Louise Schneider,Carl R Moles,Rebekah Patanwala,Asad E. Do,Linda L Burke,Rosemary Penm,Jonathan |
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Deep,Louise |
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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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pharmacy student-assisted medication reconciliation: number and types of medication discrepancies identified by pharmacy students |
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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. |
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Centro de Investigaciones y Publicaciones Farmacéuticas |
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2021 |
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http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1885-642X2021000300015 |
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