Cargando…

Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature

Medicines reconciliation is a way to identify and act on discrepancies in patients’ medical histories and it is found to play a key role in patient safety. This review focuses on discrepancies and medical errors that occurred at point of discharge from hospital. Studies were identified through the f...

Descripción completa

Detalles Bibliográficos
Autores principales: Michaelsen, Maja H., McCague, Paul, Bradley, Colin P., Sahm, Laura J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597088/
https://www.ncbi.nlm.nih.gov/pubmed/28975903
http://dx.doi.org/10.3390/pharmacy3020053
_version_ 1783263642974683136
author Michaelsen, Maja H.
McCague, Paul
Bradley, Colin P.
Sahm, Laura J.
author_facet Michaelsen, Maja H.
McCague, Paul
Bradley, Colin P.
Sahm, Laura J.
author_sort Michaelsen, Maja H.
collection PubMed
description Medicines reconciliation is a way to identify and act on discrepancies in patients’ medical histories and it is found to play a key role in patient safety. This review focuses on discrepancies and medical errors that occurred at point of discharge from hospital. Studies were identified through the following electronic databases: PubMed, Sciences Direct, EMBASE, Google Scholar, Cochrane Reviews and CINAHL. Each of the six databases was screened from inception to end of January 2014. To determine eligibility of the studies; the title, abstract and full manuscript were screened to find 15 articles that meet the inclusion criteria. The median number of discrepancies across the articles was found to be 60%. In average patient had between 1.2–5.3 discrepancies when leaving the hospital. More studies also found a relation between the numbers of drugs a patient was on and the number of discrepancies. The variation in the number of discrepancies found in the 15 studies could be due to the fact that some studies excluded patient taking more than 5 drugs at admission. Medication reconciliation would be a way to avoid the high number of discrepancies that was found in this literature review and thereby increase patient safety.
format Online
Article
Text
id pubmed-5597088
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-55970882017-09-29 Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature Michaelsen, Maja H. McCague, Paul Bradley, Colin P. Sahm, Laura J. Pharmacy (Basel) Review Medicines reconciliation is a way to identify and act on discrepancies in patients’ medical histories and it is found to play a key role in patient safety. This review focuses on discrepancies and medical errors that occurred at point of discharge from hospital. Studies were identified through the following electronic databases: PubMed, Sciences Direct, EMBASE, Google Scholar, Cochrane Reviews and CINAHL. Each of the six databases was screened from inception to end of January 2014. To determine eligibility of the studies; the title, abstract and full manuscript were screened to find 15 articles that meet the inclusion criteria. The median number of discrepancies across the articles was found to be 60%. In average patient had between 1.2–5.3 discrepancies when leaving the hospital. More studies also found a relation between the numbers of drugs a patient was on and the number of discrepancies. The variation in the number of discrepancies found in the 15 studies could be due to the fact that some studies excluded patient taking more than 5 drugs at admission. Medication reconciliation would be a way to avoid the high number of discrepancies that was found in this literature review and thereby increase patient safety. MDPI 2015-06-23 /pmc/articles/PMC5597088/ /pubmed/28975903 http://dx.doi.org/10.3390/pharmacy3020053 Text en © 2015 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Michaelsen, Maja H.
McCague, Paul
Bradley, Colin P.
Sahm, Laura J.
Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title_full Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title_fullStr Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title_full_unstemmed Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title_short Medication Reconciliation at Discharge from Hospital: A Systematic Review of the Quantitative Literature
title_sort medication reconciliation at discharge from hospital: a systematic review of the quantitative literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597088/
https://www.ncbi.nlm.nih.gov/pubmed/28975903
http://dx.doi.org/10.3390/pharmacy3020053
work_keys_str_mv AT michaelsenmajah medicationreconciliationatdischargefromhospitalasystematicreviewofthequantitativeliterature
AT mccaguepaul medicationreconciliationatdischargefromhospitalasystematicreviewofthequantitativeliterature
AT bradleycolinp medicationreconciliationatdischargefromhospitalasystematicreviewofthequantitativeliterature
AT sahmlauraj medicationreconciliationatdischargefromhospitalasystematicreviewofthequantitativeliterature