Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Detalhes bibliográficos
Autor(a) principal: Oliveira, J
Data de Publicação: 2020
Outros Autores: Cabral, AC, Lavrador, M, Costa, FA, Almeida, FF, Macedo, A, Saraiva, C, Castel Branco, M, Caramona, M, Fernandez Llimos, F, Figueiredo, IV
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://hdl.handle.net/10216/127384
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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spelling Contribution of Different Patient Information Sources to Create the Best Possible Medication HistoryIntroduction: 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.20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10216/127384eng0870-399X10.20344/amp.12082Oliveira, JCabral, ACLavrador, MCosta, FAAlmeida, FFMacedo, ASaraiva, CCastel Branco, MCaramona, MFernandez Llimos, FFigueiredo, IVinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-29T15:32:14Zoai:repositorio-aberto.up.pt:10216/127384Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:25:59.292976Repositório 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
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, J
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, J
author_facet Oliveira, J
Cabral, AC
Lavrador, M
Costa, FA
Almeida, FF
Macedo, A
Saraiva, C
Castel Branco, M
Caramona, M
Fernandez Llimos, F
Figueiredo, IV
author_role author
author2 Cabral, AC
Lavrador, M
Costa, FA
Almeida, FF
Macedo, A
Saraiva, C
Castel Branco, M
Caramona, M
Fernandez Llimos, F
Figueiredo, IV
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, J
Cabral, AC
Lavrador, M
Costa, FA
Almeida, FF
Macedo, A
Saraiva, C
Castel Branco, M
Caramona, M
Fernandez Llimos, F
Figueiredo, IV
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
2020-01-01T00:00:00Z
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dc.relation.none.fl_str_mv 0870-399X
10.20344/amp.12082
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