An opportunity for improvement with a medication reconciliation programme
为改善与药物和解方案的机会作者机构：Preventive MedicineHospital Universitario Severo OchoaMadridSpain Preventive Medicine and Quality Management DepartmentHospital General Universitario Gregorio MaranonC/Doctor EsquerdoMadridSpain
出 版 物：《Open Journal of Internal Medicine》 (内科学期刊（英文）)
年 卷 期：2013年第3卷第4期
页 面：129-134页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Medication Reconciliation Admission Unintended Discrepancies
摘 要：Medication reconciliation is priority in safety. Between 54% and 67% of hospitalized patients have at least one unintended discrepancies (UDs) between pharmacological treatment of a hospital inpatient and treatment that they were previously taking at home. Quasi-experimental pre-post study performed. The objective is to assess the impact of an intervention aimed at decreasing UDs between medication prescribed on admission and patient’s regular treatment. Patients who were hospitalised for more than 24 hours and were undergoing treatment prior to admission which involved taking three or more medicines were included. The number of patients included was 331 and 3781 medicines were reconciled. The incidence of UDs decreased significantly from 7.24% to 4.18%. Omission was the most common UD, with a significant decrease from 5.8% to 3.4%. Respect to clinical impact, we observed that error type C (error reached patient without causing harm) predominates, how- ever, experienced a statistically significant decrease from 5.3% to 2.4%.
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