| Medication reconciliation in hospice: a pilot study. | |
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MedLine Citation:
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PMID: 19114603 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The Joint Commission required implementation of medication reconciliation processes by January 2006. Medication reconciliation is the practice of acquiring an accurate medication history at each transitional point of care. Potential for errors increases with inaccurate medication histories. This study determined the extent of medication reconciliation errors in hospice. METHODS: Patients were enrolled from 2 hospices in Maryland (January 2007). An initial medication history was completed by the nurse on hospice admission. The pharmacist did another medication history within 5 days of admission and compared the medication histories. All differences were reported as medication discrepancies. RESULTS: There were 504 medication discrepancies. Medication omissions occurred most commonly. All patients had at least 1 medication discrepancy (average 8.7 per patient). Overall, 190 drug interactions were identified; most were moderately severe. CONCLUSION: Terminal patients often use numerous medications increasing the risk of medication errors. Accurate medication histories reduce errors and potential for harm. |
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Authors:
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Leonette O Kemp; Priyanka Narula; Mary Lynn McPherson; Ilene Zuckerman |
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Publication Detail:
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Type: Journal Article Date: 2008-12-29 |
Journal Detail:
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Title: The American journal of hospice & palliative care Volume: 26 ISSN: 1938-2715 ISO Abbreviation: Am J Hosp Palliat Care Publication Date: 2009 Jun-Jul |
Date Detail:
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Created Date: 2009-06-17 Completed Date: 2009-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9008229 Medline TA: Am J Hosp Palliat Care Country: United States |
Other Details:
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Languages: eng Pagination: 193-9 Citation Subset: IM; N |
Affiliation:
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Methodist University Hospital, Memphis, Tennessee 38104, USA. kempl@methodisthealth.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Drug Interactions Female Hospice Care / statistics & numerical data* Humans Male Maryland Medical History Taking Medication Errors / methods*, statistics & numerical data* Nonprescription Drugs Pilot Projects Prescription Drugs Process Assessment (Health Care) |
| Chemical | |
Reg. No./Substance:
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0/Nonprescription Drugs; 0/Prescription Drugs |
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