Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Centro de investigaciones y Publicaciones Farmacéuticas
2007
|
| Subjects: | |
| Online Access: | https://www.redalyc.org/articulo.oa?id=69050404 https://www.redalyc.org/journal/690/69050404/ https://www.redalyc.org/journal/690/69050404/html/ https://www.redalyc.org/journal/690/69050404/69050404.epub https://www.redalyc.org/journal/690/69050404/movil |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1866814419900563456 |
|---|---|
| author | Meredith Crook |
| author_facet | Meredith Crook |
| contents | Pharmacist elicited medication histories in the Emergency Department: Identifying patient groups at risk of medication misadventure Meredith Crook Maja Ajdukovic Christopher Angley Natalie Soulsby Christopher Doecke Ieva Stupans Manya Angley Barbara Anderson Medicina Australia Medical Records Medication Errors Communication Barriers Pharmaceutical Services The Australian Pharmaceutical Advisory Committeeguidelines call for a detailed medication history tobe taken at the first point of admission to anEmergency Department (ED). The elderly, inparticular those residing in Residential Aged CareFacilities and those with a non-English speakingbackground, have been identified as patient groupsvulnerable to medication misadventure.Objective: to analyse the incidence of discrepanciesin medication histories in these demographic groupswhen pharmacist elicited medication histories werecompared with those taken by ED physicians. It alsoaimed to investigate the incidence of medicationrelated ED presentations.Methods: The study was conducted over a six weekperiod and included 100 patients over the age of 70,who take five or more regular medications, havethree or more clinical co-morbidities and/or havebeen discharged from hospital in three months priorto the study.Results: Twenty four participants were classified aslanguage barrier; 12 participants were fromresidential aged care facilities, and 64 participantswere classified as general. The number of correctly recorded medications was lowest in thelanguage barrier group (13.8%) compared with18% and 19.6% of medications for general patientsand patients from residential aged care facilitiesrespectively. Seven of the patients (29.2%) withlanguage barrier; 1 from a residential aged carefacility (8.3%) and 13 of the (20.3%) patients fromthe general category were suspected as having amedication related ED presentation.Conclusion: This study further highlights the positivecontribution an ED pharmacist can make toenhancing medication management along thecontinuum of care. This study also confirms thevulnerability of patients with language barrier tomedication misadventure and their need forinterpreter services at all stages of theirhospitalisation, in particular at the point of EDpresentation. 2007 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69050404 https://www.redalyc.org/journal/690/69050404/ https://www.redalyc.org/journal/690/69050404/html/ https://www.redalyc.org/journal/690/69050404/69050404.epub https://www.redalyc.org/journal/690/69050404/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.4 Vol.5 |
| format | Artículo científico |
| id | redalyc_69050404 |
| language | en |
| publishDate | 2007 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Pharmacist elicited medication histories in the Emergency Department: Identifying patient groups at risk of medication misadventure Meredith Crook Medicina Australia Medical Records Medication Errors Communication Barriers Pharmaceutical Services Pharmacist elicited medication histories in the Emergency Department: Identifying patient groups at risk of medication misadventure Meredith Crook Maja Ajdukovic Christopher Angley Natalie Soulsby Christopher Doecke Ieva Stupans Manya Angley Barbara Anderson Medicina Australia Medical Records Medication Errors Communication Barriers Pharmaceutical Services The Australian Pharmaceutical Advisory Committeeguidelines call for a detailed medication history tobe taken at the first point of admission to anEmergency Department (ED). The elderly, inparticular those residing in Residential Aged CareFacilities and those with a non-English speakingbackground, have been identified as patient groupsvulnerable to medication misadventure.Objective: to analyse the incidence of discrepanciesin medication histories in these demographic groupswhen pharmacist elicited medication histories werecompared with those taken by ED physicians. It alsoaimed to investigate the incidence of medicationrelated ED presentations.Methods: The study was conducted over a six weekperiod and included 100 patients over the age of 70,who take five or more regular medications, havethree or more clinical co-morbidities and/or havebeen discharged from hospital in three months priorto the study.Results: Twenty four participants were classified aslanguage barrier; 12 participants were fromresidential aged care facilities, and 64 participantswere classified as general. The number of correctly recorded medications was lowest in thelanguage barrier group (13.8%) compared with18% and 19.6% of medications for general patientsand patients from residential aged care facilitiesrespectively. Seven of the patients (29.2%) withlanguage barrier; 1 from a residential aged carefacility (8.3%) and 13 of the (20.3%) patients fromthe general category were suspected as having amedication related ED presentation.Conclusion: This study further highlights the positivecontribution an ED pharmacist can make toenhancing medication management along thecontinuum of care. This study also confirms thevulnerability of patients with language barrier tomedication misadventure and their need forinterpreter services at all stages of theirhospitalisation, in particular at the point of EDpresentation. 2007 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69050404 https://www.redalyc.org/journal/690/69050404/ https://www.redalyc.org/journal/690/69050404/html/ https://www.redalyc.org/journal/690/69050404/69050404.epub https://www.redalyc.org/journal/690/69050404/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.4 Vol.5 |
| title | Pharmacist elicited medication histories in the Emergency Department: Identifying patient groups at risk of medication misadventure |
| topic | Medicina Australia Medical Records Medication Errors Communication Barriers Pharmaceutical Services |
| url | https://www.redalyc.org/articulo.oa?id=69050404 https://www.redalyc.org/journal/690/69050404/ https://www.redalyc.org/journal/690/69050404/html/ https://www.redalyc.org/journal/690/69050404/69050404.epub https://www.redalyc.org/journal/690/69050404/movil |