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| Natura: | Artículo científico |
| Lingua: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2007
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=69050205 https://www.redalyc.org/journal/690/69050205/ https://www.redalyc.org/journal/690/69050205/html/ https://www.redalyc.org/journal/690/69050205/69050205.epub https://www.redalyc.org/journal/690/69050205/movil |
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Sommario:
- Eliciting comprehensive medication histories in the emergency department: the role of the pharmacist Meredith Crook Maja Ajdukovic Christopher Angley Natalie Soulsby Christopher Doecke Ieva Stupans Manya Angley Medicina Australia Medical Records Medication Errors Pharmaceutical Services The Australian Pharmaceutical Advisory Committeeguidelines call for a detailed medication history tobe taken at the first point of admission to hospital.Accurate medication histories are vital in optimisinghealth outcomes and have been shown to reducemortality rates.This study aimed to examine the accuracy ofmedication histories taken in the EmergencyDepartment of the Royal Adelaide Hospital.Medication histories recorded by medical staff werecompared to those elicited by a pharmacyresearcher.The study, conducted over a six-week period,included 100 patients over the age of 70, who tookfive or more regular medications, had three or moreclinical co-morbidities and/or had been dischargedfrom hospital in three months prior to the study.Following patient interviews, the researchercontacted the patients pharmacist and GP forconfirmation and completion of the medicationhistory.Out of the 1152 medications recorded as beingused by the 100 patients, discrepancies were foundfor 966 medications (83.9%). There were 563(48.9%) complete omissions of medications. Themost common discrepancies were incomplete oromitted dosage and frequency information.Discrepancies were mostly medications that treated dermatological and ear, nose and throat disordersbut approximately 29% were used to treatcardiovascular disorders.This study provides support for the presence of anEmergency Department pharmacist who cancompile a comprehensive and accurate medicationhistory to enhance medication management alongthe continuum of care. It is recommended that thepatients community pharmacy and GP becontacted for clarification and confirmation of themedication history. 2007 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69050205 https://www.redalyc.org/journal/690/69050205/ https://www.redalyc.org/journal/690/69050205/html/ https://www.redalyc.org/journal/690/69050205/69050205.epub https://www.redalyc.org/journal/690/69050205/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.5