| Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | |
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MedLine Citation:
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PMID: 20595717 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Recent literature revealed that medication histories obtained by physicians and nurses are often incomplete. However, the number of patients included was often low. Study objective In this study, the authors compare medication histories obtained in the Emergency Department (ED) by pharmacists versus physicians and identify characteristics contributing to discrepancies. METHODS: Medication histories were acquired by the pharmacist from patients admitted to the ED, planned to be hospitalised. A structured form was used to guide the pharmacist or technician to ensure a standardised approach. Discrepancies, defined as any difference between the pharmacist-acquired medication history and that obtained by the physician, were analysed. RESULTS: 3594 medication histories were acquired by pharmacy staff. 59% (95% CI 58.2% to 59.8%) of medication histories recorded by physicians were different from those obtained by the pharmacy staff. Within these inaccurate medication histories, 5963 discrepancies were identified. The most common type of error was omission of a drug (61%; 95% CI 60.4% to 61.6%), followed by omission of dose (18%; 95% CI 17.6% to 18.4%). Drugs belonging to the class of psycholeptics, acid suppressors and beta blocking agents were related to the highest discrepancy rate. Acetylsalicylic acid, omeprazole and zolpidem were most commonly forgotten. CONCLUSION: This large prospective study demonstrates that medication history acquisition is very often incomplete in the ED. A structured form and a standardised method is necessary. Pharmacists are especially suited to acquire and supervise accurate medication histories, as they are educated and familiar with commonly used drugs. |
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Authors:
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Sabrina De Winter; Isabel Spriet; Christophe Indevuyst; Peter Vanbrabant; Didier Desruelles; Marc Sabbe; Jean Bernard Gillet; Alexander Wilmer; Ludo Willems |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-07-01 |
Journal Detail:
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Title: Quality & safety in health care Volume: 19 ISSN: 1475-3901 ISO Abbreviation: Qual Saf Health Care Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136980 Medline TA: Qual Saf Health Care Country: England |
Other Details:
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Languages: eng Pagination: 371-5 Citation Subset: H |
Affiliation:
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Pharmacy Department, University Hospitals Leuven, Leuven, Belgium. sabrina.dewinter@uzleuven.be |
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| Comments/Corrections | |
Comment In:
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Qual Saf Health Care. 2010 Oct;19(5):369-70
[PMID:
20977992
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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