Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital

Introduction: The reconciliation of medications is an important process that impacts on patient safety during the level of care transition, a moment with high discrepancy rates that can lead to adverse reactions. Objective: To analyze the results of medication reconciliation in order to identify di...

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Autores principales:	Lorena S. Miranda, Ana L. Cavalcante, Rafael M. Pinheiro, Dayani Galato, Emília V. Silva
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/c19b38ca0db44d398ad92be040dde6ad
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spelling	oai:doaj.org-article:c19b38ca0db44d398ad92be040dde6ad2021-11-28T02:46:08ZReconciliation of medications upon the admission of patients to the cardiology sector of a university hospital10.30968/rbfhss.2019.104.03532179-59242316-7750https://doaj.org/article/c19b38ca0db44d398ad92be040dde6ad2020-03-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/353https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Introduction: The reconciliation of medications is an important process that impacts on patient safety during the level of care transition, a moment with high discrepancy rates that can lead to adverse reactions. Objective: To analyze the results of medication reconciliation in order to identify discrepancies between the medical prescription and the medications previously used by the patient. Method: A descriptive, cross-sectional study was conducted between May and November 2017 (until the second fortnight of the month), with patients admitted to the cardiology department of the University Hospital of Brasília. Data was collected through interviews with patients, relatives and/or caregivers, and through consultation of the medical records. The reconciliation of medications was performed daily, from Monday to Friday, within 48 hours of the patient’s admission to the unit, through a medication reconciliation form prepared by the author. Results: 90 patients were included in the study and a total of 297 discrepancies were found, 267 (90%) being intentional and 30 (10%), unintentional. Among the unintentional discrepancies, the most frequent was omission of medication in use by the patient (56%). Of the intentional discrepancies, the dosage modifications were more common in 45% of the cases. Conclusion: The reconciliation of medications was a crucial clinical service for the identification and resolution of unintentional discrepancies between previously used medications and hospital medical prescription. Lorena S. MirandaAna L. CavalcanteRafael M. PinheiroDayani GalatoEmília V. SilvaSociedade 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 10, Iss 4 (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 Lorena S. Miranda Ana L. Cavalcante Rafael M. Pinheiro Dayani Galato Emília V. Silva Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
description	Introduction: The reconciliation of medications is an important process that impacts on patient safety during the level of care transition, a moment with high discrepancy rates that can lead to adverse reactions. Objective: To analyze the results of medication reconciliation in order to identify discrepancies between the medical prescription and the medications previously used by the patient. Method: A descriptive, cross-sectional study was conducted between May and November 2017 (until the second fortnight of the month), with patients admitted to the cardiology department of the University Hospital of Brasília. Data was collected through interviews with patients, relatives and/or caregivers, and through consultation of the medical records. The reconciliation of medications was performed daily, from Monday to Friday, within 48 hours of the patient’s admission to the unit, through a medication reconciliation form prepared by the author. Results: 90 patients were included in the study and a total of 297 discrepancies were found, 267 (90%) being intentional and 30 (10%), unintentional. Among the unintentional discrepancies, the most frequent was omission of medication in use by the patient (56%). Of the intentional discrepancies, the dosage modifications were more common in 45% of the cases. Conclusion: The reconciliation of medications was a crucial clinical service for the identification and resolution of unintentional discrepancies between previously used medications and hospital medical prescription.
format	article
author	Lorena S. Miranda Ana L. Cavalcante Rafael M. Pinheiro Dayani Galato Emília V. Silva
author_facet	Lorena S. Miranda Ana L. Cavalcante Rafael M. Pinheiro Dayani Galato Emília V. Silva
author_sort	Lorena S. Miranda
title	Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
title_short	Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
title_full	Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
title_fullStr	Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
title_full_unstemmed	Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
title_sort	reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/c19b38ca0db44d398ad92be040dde6ad
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Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital

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