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Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection

(1) Incomplete or wrong medication histories can lead to missed diagnoses of Adverse Drug Effects (ADEs). We aimed to evaluate pharmacist-identified ED errors in the medication histories obtained by physicians, and their consequences for ADE detection. (2) This prospective monocentric study was carr...

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Autores principales: Goulas, Clara, Lohan, Laura, Laureau, Marion, Perier, Damien, Pinzani, Véronique, Faucanie, Marie, Macioce, Valérie, Marin, Grégory, Giraud, Isabelle, Villiet, Maxime, Sebbane, Mustapha, Breuker, Cyril
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821377/
https://www.ncbi.nlm.nih.gov/pubmed/36615176
http://dx.doi.org/10.3390/jcm12010376
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author Goulas, Clara
Lohan, Laura
Laureau, Marion
Perier, Damien
Pinzani, Véronique
Faucanie, Marie
Macioce, Valérie
Marin, Grégory
Giraud, Isabelle
Villiet, Maxime
Sebbane, Mustapha
Breuker, Cyril
author_facet Goulas, Clara
Lohan, Laura
Laureau, Marion
Perier, Damien
Pinzani, Véronique
Faucanie, Marie
Macioce, Valérie
Marin, Grégory
Giraud, Isabelle
Villiet, Maxime
Sebbane, Mustapha
Breuker, Cyril
author_sort Goulas, Clara
collection PubMed
description (1) Incomplete or wrong medication histories can lead to missed diagnoses of Adverse Drug Effects (ADEs). We aimed to evaluate pharmacist-identified ED errors in the medication histories obtained by physicians, and their consequences for ADE detection. (2) This prospective monocentric study was carried out in an ED of a university hospital. We included adult patients presenting with an ADE detected in the ED. The best possible medication histories collected by pharmacists were used to identify errors in the medication histories obtained by physicians. We described these errors, and identified those related to medications involved in ADEs. We also identified the ADEs that could not have been detected without the pharmacists’ interventions. (3) Of 735 patients presenting with an ADE, 93.1% had at least one error on the medication list obtained by physicians. Of the 1047 medications involved in ADEs, 51.3% were associated with an error in the medication history. In total, 23.1% of the medications involved in ADEs were missing in the physicians’ medication histories and were corrected by the pharmacists. (4) Medication histories obtained by ED physicians were often incomplete, and half the medications involved in ADEs were not identified, or were incorrectly characterized in the physicians’ medication histories.
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spelling pubmed-98213772023-01-07 Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection Goulas, Clara Lohan, Laura Laureau, Marion Perier, Damien Pinzani, Véronique Faucanie, Marie Macioce, Valérie Marin, Grégory Giraud, Isabelle Villiet, Maxime Sebbane, Mustapha Breuker, Cyril J Clin Med Article (1) Incomplete or wrong medication histories can lead to missed diagnoses of Adverse Drug Effects (ADEs). We aimed to evaluate pharmacist-identified ED errors in the medication histories obtained by physicians, and their consequences for ADE detection. (2) This prospective monocentric study was carried out in an ED of a university hospital. We included adult patients presenting with an ADE detected in the ED. The best possible medication histories collected by pharmacists were used to identify errors in the medication histories obtained by physicians. We described these errors, and identified those related to medications involved in ADEs. We also identified the ADEs that could not have been detected without the pharmacists’ interventions. (3) Of 735 patients presenting with an ADE, 93.1% had at least one error on the medication list obtained by physicians. Of the 1047 medications involved in ADEs, 51.3% were associated with an error in the medication history. In total, 23.1% of the medications involved in ADEs were missing in the physicians’ medication histories and were corrected by the pharmacists. (4) Medication histories obtained by ED physicians were often incomplete, and half the medications involved in ADEs were not identified, or were incorrectly characterized in the physicians’ medication histories. MDPI 2023-01-03 /pmc/articles/PMC9821377/ /pubmed/36615176 http://dx.doi.org/10.3390/jcm12010376 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Goulas, Clara
Lohan, Laura
Laureau, Marion
Perier, Damien
Pinzani, Véronique
Faucanie, Marie
Macioce, Valérie
Marin, Grégory
Giraud, Isabelle
Villiet, Maxime
Sebbane, Mustapha
Breuker, Cyril
Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title_full Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title_fullStr Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title_full_unstemmed Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title_short Involvement of Pharmacists in the Emergency Department to Correct Errors in the Medication History and the Impact on Adverse Drug Event Detection
title_sort involvement of pharmacists in the emergency department to correct errors in the medication history and the impact on adverse drug event detection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821377/
https://www.ncbi.nlm.nih.gov/pubmed/36615176
http://dx.doi.org/10.3390/jcm12010376
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