Medication reconciliation in orthopedic and neurological patients in a public hospital

Objective: To evaluate the discrepancies found by the clinical pharmacy service during medication reconciliations in patients hospitalized for orthopedics and neurology in a university hospital. Methods: A cross-sectional, descriptive and retrospective study was carried out from January to June 201...

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Autores principales:	Cássia R. EIDELWEIN, Andréia C. SANCHES, Luciane F. CALDEIRA
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/0e16181aabfd4ba195d49f97bceb1594
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spelling	oai:doaj.org-article:0e16181aabfd4ba195d49f97bceb15942021-11-28T02:44:46ZMedication reconciliation in orthopedic and neurological patients in a public hospital10.30968/rbfhss.2020.113.03542179-59242316-7750https://doaj.org/article/0e16181aabfd4ba195d49f97bceb15942020-09-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/354https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To evaluate the discrepancies found by the clinical pharmacy service during medication reconciliations in patients hospitalized for orthopedics and neurology in a university hospital. Methods: A cross-sectional, descriptive and retrospective study was carried out from January to June 2018 with the patients followed-up by the clinical pharmacy service (orthopedics and neurology). Data was collected through medical charts and pharmacotherapeutic follow-up forms. The differences between the list of medications that the patient was using at home and the prescription from the hospital was classified as a discrepancy (justified or unjustified). Medical acceptance of the pharmaceutical interventions was assessed. The medications involved in the discrepancies were classified according to the ATC classification in its 1st level. Descriptive statistics was performed using the Excel program and Pearson’s chi-square test. Results: Of the 939 medications used by the patients, 673 (71.7%) presented discrepancies and in 371 (55.1%), unjustified discrepancies were found. Of the 507 patients included in the study, 154 (30.4%) presented at least one medication error. In 96.8% of the cases, the pharmaceutical interventions were performed, and acceptability was 30.6%, avoiding 110 errors. Medication omission was the most common type of discrepancy and the medical group most frequently involved was the cardiovascular system. Conclusions: Medication errors in admission to the orthopedics and neurology sectors are frequent, but they can be identified and solved through medication reconciliation, with professional clinical pharmacists able to perform it, collaborating for the safety of the patients. Cássia R. EIDELWEINAndréia C. SANCHESLuciane F. CALDEIRASociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 3 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Cássia R. EIDELWEIN Andréia C. SANCHES Luciane F. CALDEIRA Medication reconciliation in orthopedic and neurological patients in a public hospital
description	Objective: To evaluate the discrepancies found by the clinical pharmacy service during medication reconciliations in patients hospitalized for orthopedics and neurology in a university hospital. Methods: A cross-sectional, descriptive and retrospective study was carried out from January to June 2018 with the patients followed-up by the clinical pharmacy service (orthopedics and neurology). Data was collected through medical charts and pharmacotherapeutic follow-up forms. The differences between the list of medications that the patient was using at home and the prescription from the hospital was classified as a discrepancy (justified or unjustified). Medical acceptance of the pharmaceutical interventions was assessed. The medications involved in the discrepancies were classified according to the ATC classification in its 1st level. Descriptive statistics was performed using the Excel program and Pearson’s chi-square test. Results: Of the 939 medications used by the patients, 673 (71.7%) presented discrepancies and in 371 (55.1%), unjustified discrepancies were found. Of the 507 patients included in the study, 154 (30.4%) presented at least one medication error. In 96.8% of the cases, the pharmaceutical interventions were performed, and acceptability was 30.6%, avoiding 110 errors. Medication omission was the most common type of discrepancy and the medical group most frequently involved was the cardiovascular system. Conclusions: Medication errors in admission to the orthopedics and neurology sectors are frequent, but they can be identified and solved through medication reconciliation, with professional clinical pharmacists able to perform it, collaborating for the safety of the patients.
format	article
author	Cássia R. EIDELWEIN Andréia C. SANCHES Luciane F. CALDEIRA
author_facet	Cássia R. EIDELWEIN Andréia C. SANCHES Luciane F. CALDEIRA
author_sort	Cássia R. EIDELWEIN
title	Medication reconciliation in orthopedic and neurological patients in a public hospital
title_short	Medication reconciliation in orthopedic and neurological patients in a public hospital
title_full	Medication reconciliation in orthopedic and neurological patients in a public hospital
title_fullStr	Medication reconciliation in orthopedic and neurological patients in a public hospital
title_full_unstemmed	Medication reconciliation in orthopedic and neurological patients in a public hospital
title_sort	medication reconciliation in orthopedic and neurological patients in a public hospital
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/0e16181aabfd4ba195d49f97bceb1594
work_keys_str_mv	AT cassiareidelwein medicationreconciliationinorthopedicandneurologicalpatientsinapublichospital AT andreiacsanches medicationreconciliationinorthopedicandneurologicalpatientsinapublichospital AT lucianefcaldeira medicationreconciliationinorthopedicandneurologicalpatientsinapublichospital
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Medication reconciliation in orthopedic and neurological patients in a public hospital

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