Medication reconciliation in admission hospitalization: retrospective study

Objective: to quantify and describe the discrepancies found in medication reconciliation (MR) in patients at hospital admission. Methods: Retrospective study performed from September to November 2018, based on data from the MR of patients at hospital admission of a large hospital in the city of Por...

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Autores principales: Juliana DORNELES, Calize O. SANTOS, Lucélia H. LIMA, Carine R. BLATT
Formato: article
Lenguaje:EN
PT
Publicado: Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
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Acceso en línea:https://doaj.org/article/96a346557f774d3cb0c4c05cadbd63f0
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spelling oai:doaj.org-article:96a346557f774d3cb0c4c05cadbd63f02021-11-28T02:44:42ZMedication reconciliation in admission hospitalization: retrospective study10.30968/rbfhss.2020.112.03972179-59242316-7750https://doaj.org/article/96a346557f774d3cb0c4c05cadbd63f02020-09-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/397https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: to quantify and describe the discrepancies found in medication reconciliation (MR) in patients at hospital admission. Methods: Retrospective study performed from September to November 2018, based on data from the MR of patients at hospital admission of a large hospital in the city of Porto Alegre / RS. MR was shared with nursing (collection of patient’s medication history) and pharmacy (comparison of medication list before and during hospitalization). The referred drugs were classify according to the Anatomic Therapeutic Chemical (ATC) classification in their first level and the discrepancies were classify according to intentionality (intentional and unintentional). Results: 81 patients submitted to MR, and 80% of them had some discrepancy. Of the 328 drugs evaluated, 44.8% presented discrepancies, totaling 147 discrepancies, being intentional (n= 97) and unintentional (n= 50). The omission of medication was the most frequent discrepancies (48.3%). After identify unintencional discrepancies 50% of drug were included in prescription. Cardiovascular drugs and digestive and metabolism drugs were the groups with the highest frequency of discrepancy. Conclusion: Since 80% of prescriptions on hospital admission had some discrepancy regarding the use of medication by patients before hospital admission, it is understood the importance of performing MR as a pharmaceutical service and with the objective of increasing patient safety regarding drug therapy. Juliana DORNELESCalize O. SANTOSLucélia H. LIMACarine R. BLATTSociedade 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 2 (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
Juliana DORNELES
Calize O. SANTOS
Lucélia H. LIMA
Carine R. BLATT
Medication reconciliation in admission hospitalization: retrospective study
description Objective: to quantify and describe the discrepancies found in medication reconciliation (MR) in patients at hospital admission. Methods: Retrospective study performed from September to November 2018, based on data from the MR of patients at hospital admission of a large hospital in the city of Porto Alegre / RS. MR was shared with nursing (collection of patient’s medication history) and pharmacy (comparison of medication list before and during hospitalization). The referred drugs were classify according to the Anatomic Therapeutic Chemical (ATC) classification in their first level and the discrepancies were classify according to intentionality (intentional and unintentional). Results: 81 patients submitted to MR, and 80% of them had some discrepancy. Of the 328 drugs evaluated, 44.8% presented discrepancies, totaling 147 discrepancies, being intentional (n= 97) and unintentional (n= 50). The omission of medication was the most frequent discrepancies (48.3%). After identify unintencional discrepancies 50% of drug were included in prescription. Cardiovascular drugs and digestive and metabolism drugs were the groups with the highest frequency of discrepancy. Conclusion: Since 80% of prescriptions on hospital admission had some discrepancy regarding the use of medication by patients before hospital admission, it is understood the importance of performing MR as a pharmaceutical service and with the objective of increasing patient safety regarding drug therapy.
format article
author Juliana DORNELES
Calize O. SANTOS
Lucélia H. LIMA
Carine R. BLATT
author_facet Juliana DORNELES
Calize O. SANTOS
Lucélia H. LIMA
Carine R. BLATT
author_sort Juliana DORNELES
title Medication reconciliation in admission hospitalization: retrospective study
title_short Medication reconciliation in admission hospitalization: retrospective study
title_full Medication reconciliation in admission hospitalization: retrospective study
title_fullStr Medication reconciliation in admission hospitalization: retrospective study
title_full_unstemmed Medication reconciliation in admission hospitalization: retrospective study
title_sort medication reconciliation in admission hospitalization: retrospective study
publisher Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate 2020
url https://doaj.org/article/96a346557f774d3cb0c4c05cadbd63f0
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AT calizeosantos medicationreconciliationinadmissionhospitalizationretrospectivestudy
AT luceliahlima medicationreconciliationinadmissionhospitalizationretrospectivestudy
AT carinerblatt medicationreconciliationinadmissionhospitalizationretrospectivestudy
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