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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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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
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author Wills, Brittany M.
Darko, William
Seabury, Robert
Probst, Luke A.
Miller, Christopher D.
Cwikla, Gregory M.
author_facet Wills, Brittany M.
Darko, William
Seabury, Robert
Probst, Luke A.
Miller, Christopher D.
Cwikla, Gregory M.
author_sort Wills, Brittany M.
collection PubMed
description 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.
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spelling pubmed-48435852016-05-09 Pharmacy impact on medication reconciliation in the medical intensive care unit Wills, Brittany M. Darko, William Seabury, Robert Probst, Luke A. Miller, Christopher D. Cwikla, Gregory M. J Res Pharm Pract Brief Communication 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. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4843585/ /pubmed/27162810 http://dx.doi.org/10.4103/2279-042X.179584 Text en Copyright: © Journal of Research in Pharmacy Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Brief Communication
Wills, Brittany M.
Darko, William
Seabury, Robert
Probst, Luke A.
Miller, Christopher D.
Cwikla, Gregory M.
Pharmacy impact on medication reconciliation in the medical intensive care unit
title Pharmacy impact on medication reconciliation in the medical intensive care unit
title_full Pharmacy impact on medication reconciliation in the medical intensive care unit
title_fullStr Pharmacy impact on medication reconciliation in the medical intensive care unit
title_full_unstemmed Pharmacy impact on medication reconciliation in the medical intensive care unit
title_short Pharmacy impact on medication reconciliation in the medical intensive care unit
title_sort pharmacy impact on medication reconciliation in the medical intensive care unit
topic Brief Communication
url 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
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