Contribution of Different Patient Information Sources to Create the Best Possible Medication History
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082 |
Resumo: | Introduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months. |
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Contribution of Different Patient Information Sources to Create the Best Possible Medication HistoryContribuição de Diferentes Fontes de Informação para Obter a Melhor História Farmacoterapêutica PossívelElectronic Health RecordsMedical History TakingMedication ReconciliationAnamneseReconciliação de MedicamentosRegistos Eletrónicos em SaúdeIntroduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months.Introdução: A obtenção da melhor história farmacoterapêutica possível é uma etapa crucial da reconciliação da medicação. O objetivo foi avaliar as potenciais contribuições das principais fontes de informação disponíveis – doente/cuidador, Processo Único, Plataforma de Dados da Saúde e – para obter uma mais exacta melhor história farmacoterapêutica possível.Material e Métodos: Foi realizado um estudo transversal observacional. Incluíram-se doentes adultos a tomar pelo menos um medicamento. A entrevista com o doente foi realizada na admissão e os dados do Processo Único e da Plataforma de Dados da Saúde recolhidos retrospetivamente. A concordância entre as fontes de informação foi avaliada. Na plataforma de dados da saúde, os dados foram recolhidos em quatro janelas temporais: os últimos três, seis, nove e 12- meses. Os dados omitidos entre os diferentes tempos foram analisados.Resultados: Participaram 148 doentes, com uma idade média de 54,6 ± 16,3 anos. Foram recolhidos 1639 medicamentos. Destes, 29% foram obtidos simultaneamente nas três fontes de informação, 40% foram obtidos apenas na Plataforma de Dados da Saúde e 5% foram obtidos exclusivamente a partir do doente. O número total de fármacos recolhidos na Plataforma de Dados da Saúde nos diferentes tempos foi 778 (três meses), 1397 (seis meses), 1748 (nove meses) e 1933 (12 meses).Discussão: A consulta da Plataforma de Dados da Saúde permite obter dados omitidos nas outras fontes de informação e a recolha dos seis meses precedentes é o procedimento mais eficiente para constituir a base da melhor história farmacoterapêutica possível.Conclusão: A Plataforma de Dados da Saúde deve ser a fonte de informação preferencial para complementar a entrevista do doente/cuidador de forma a aumentar a exatidão da melhor história farmacoterapêutica possível, particularmente se a informação for recolhida em relação aos seis meses precedentes.Ordem dos Médicos2020-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082oai:ojs.www.actamedicaportuguesa.com:article/12082Acta Médica Portuguesa; Vol. 33 No. 6 (2020): June; 384-389Acta Médica Portuguesa; Vol. 33 N.º 6 (2020): Junho; 384-3891646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/5972https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11292https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11415https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11416Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessOliveira, JoelizyCabral, Ana CristinaLavrador, MartaCosta, Filipa A.Almeida, Filipe FélixMacedo, AntónioSaraiva, CarlosCastel-Branco, MargaridaCaramona, MargaridaFernandez-Llimos, FernandoFigueiredo, Isabel Vitória2022-12-20T11:06:30Zoai:ojs.www.actamedicaportuguesa.com:article/12082Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:08.326328Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History Contribuição de Diferentes Fontes de Informação para Obter a Melhor História Farmacoterapêutica Possível |
title |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
spellingShingle |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History Oliveira, Joelizy Electronic Health Records Medical History Taking Medication Reconciliation Anamnese Reconciliação de Medicamentos Registos Eletrónicos em Saúde |
title_short |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
title_full |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
title_fullStr |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
title_full_unstemmed |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
title_sort |
Contribution of Different Patient Information Sources to Create the Best Possible Medication History |
author |
Oliveira, Joelizy |
author_facet |
Oliveira, Joelizy Cabral, Ana Cristina Lavrador, Marta Costa, Filipa A. Almeida, Filipe Félix Macedo, António Saraiva, Carlos Castel-Branco, Margarida Caramona, Margarida Fernandez-Llimos, Fernando Figueiredo, Isabel Vitória |
author_role |
author |
author2 |
Cabral, Ana Cristina Lavrador, Marta Costa, Filipa A. Almeida, Filipe Félix Macedo, António Saraiva, Carlos Castel-Branco, Margarida Caramona, Margarida Fernandez-Llimos, Fernando Figueiredo, Isabel Vitória |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Joelizy Cabral, Ana Cristina Lavrador, Marta Costa, Filipa A. Almeida, Filipe Félix Macedo, António Saraiva, Carlos Castel-Branco, Margarida Caramona, Margarida Fernandez-Llimos, Fernando Figueiredo, Isabel Vitória |
dc.subject.por.fl_str_mv |
Electronic Health Records Medical History Taking Medication Reconciliation Anamnese Reconciliação de Medicamentos Registos Eletrónicos em Saúde |
topic |
Electronic Health Records Medical History Taking Medication Reconciliation Anamnese Reconciliação de Medicamentos Registos Eletrónicos em Saúde |
description |
Introduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082 oai:ojs.www.actamedicaportuguesa.com:article/12082 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/12082 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/5972 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11292 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11415 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12082/11416 |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
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application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 33 No. 6 (2020): June; 384-389 Acta Médica Portuguesa; Vol. 33 N.º 6 (2020): Junho; 384-389 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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