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Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department

Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in transition of care from primary care to the emergency...

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Autores principales: Prior, Sarah J., Cheek, Colleen, Cheah, Dong, Etherington, Christopher, Williams, Abigail, Reeves, Nicole S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956283/
https://www.ncbi.nlm.nih.gov/pubmed/31795186
http://dx.doi.org/10.3390/healthcare7040152
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author Prior, Sarah J.
Cheek, Colleen
Cheah, Dong
Etherington, Christopher
Williams, Abigail
Reeves, Nicole S.
author_facet Prior, Sarah J.
Cheek, Colleen
Cheah, Dong
Etherington, Christopher
Williams, Abigail
Reeves, Nicole S.
author_sort Prior, Sarah J.
collection PubMed
description Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in transition of care from primary care to the emergency department (ED) over a 12-month period. Medication lists in General Practitioner (GP) referrals to a regional ED were examined against a Best Possible Medication History (BPMH) performed by a hospital pharmacist. One hundred and forty-three patients (25%) with computer-generated GP referrals to ED who were subsequently admitted to hospital had a BPMH taken; 135 (94%) of these had at least one medication discrepancy identified with a discrepancy rate of 67.18 discrepancies per 100 medications. Improving medication reconciliation in the community may reduce the burden associated with preventable medication errors. Whether this is achieved by more frequent GP-led medication review or community-based pharmacist medication review may depend on the community and available resources.
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spelling pubmed-69562832020-01-23 Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department Prior, Sarah J. Cheek, Colleen Cheah, Dong Etherington, Christopher Williams, Abigail Reeves, Nicole S. Healthcare (Basel) Project Report Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in transition of care from primary care to the emergency department (ED) over a 12-month period. Medication lists in General Practitioner (GP) referrals to a regional ED were examined against a Best Possible Medication History (BPMH) performed by a hospital pharmacist. One hundred and forty-three patients (25%) with computer-generated GP referrals to ED who were subsequently admitted to hospital had a BPMH taken; 135 (94%) of these had at least one medication discrepancy identified with a discrepancy rate of 67.18 discrepancies per 100 medications. Improving medication reconciliation in the community may reduce the burden associated with preventable medication errors. Whether this is achieved by more frequent GP-led medication review or community-based pharmacist medication review may depend on the community and available resources. MDPI 2019-11-28 /pmc/articles/PMC6956283/ /pubmed/31795186 http://dx.doi.org/10.3390/healthcare7040152 Text en © 2019 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 Project Report
Prior, Sarah J.
Cheek, Colleen
Cheah, Dong
Etherington, Christopher
Williams, Abigail
Reeves, Nicole S.
Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title_full Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title_fullStr Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title_full_unstemmed Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title_short Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department
title_sort medication error rate in transition of care: general practitioner (gp) referrals to a regional emergency department
topic Project Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956283/
https://www.ncbi.nlm.nih.gov/pubmed/31795186
http://dx.doi.org/10.3390/healthcare7040152
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