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Pharmacy impact on medication reconciliation in the medical intensive care unit

OBJECTIVE: Pharmacy-driven medication history (MH) programs have been shown to reduce the number of serious or potentially life-threatening (S/PLT) medication discrepancies (MDs) in many settings, but not Intensive Care Units (ICUs). METHODS: MHs were repeated over a 6-week period. Demographics, num...

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Detalles Bibliográficos
Autores principales: Wills, Brittany M., Darko, William, Seabury, Robert, Probst, Luke A., Miller, Christopher D., Cwikla, Gregory M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843585/
https://www.ncbi.nlm.nih.gov/pubmed/27162810
http://dx.doi.org/10.4103/2279-042X.179584
Descripción
Sumario:OBJECTIVE: Pharmacy-driven medication history (MH) programs have been shown to reduce the number of serious or potentially life-threatening (S/PLT) medication discrepancies (MDs) in many settings, but not Intensive Care Units (ICUs). METHODS: MHs were repeated over a 6-week period. Demographics, number, and nature of MDs were documented. Discrepancy severity was graded using a previously published method. Primary outcome was the proportion of MHs containing >1 S/PLT MDs. FINDINGS: Sixty-three MHs were repeated. Pharmacy MHs were less likely to contain ≥1 S/PLT MDs (0% vs. 50%, P < 0.001). CONCLUSION: Pharmacy MHs contained fewer S/PLT MDs in this small sample. S/PLT MDs on admission and home medication lists were common in patients admitted to the medical ICU. Pharmacy-driven medication reconciliation (MR) reduced the number and frequency of these discrepancies. Further research is required to improve current MR procedures.