Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892 |
Resumo: | Introduction: The purpose of medication reconciliation is to promote patient safety by reducing medication errors and adverse events due to medication discrepancies in transition of care. The aim of this pilot study of medication reconciliation at the time of hospital admission was to identify the necessary resources for its implementation in clinical practice.Material and Methods: Pilot study with 100 patients admitted to an Internal Medicine department between October and December 2019, aged 18 and over, and chronically taking at least one medicine. The best possible medication history was obtained systematically, with subsequent identification, classification and resolution of the discrepancies.Results: The study sample, in general characterized by polypharmacy and by having multiple long-term conditions, presented a mean age of 77.04 ± 13.74 years, being 67.0% male. Overall, 791 discrepancies were identified. Intentional discrepancies were 95.7% and 50.9% of them were documented. The difficulties encountered were mainly related with the access and quality of therapeutic information and communication problems between different healthcare professionals. The key priority resources that were identified were related with the process, tools, and personnel categories.Conclusion: The data revealed weaknesses in the clinical records available at the primary/hospital care interface. Optimization of data sources, standardization and informatization of the process, multidisciplinary approach and definition of priority groups were identified as opportunities for optimization. |
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Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot StudyReconciliação Terapêutica na Admissão de um Serviço de Medicina Interna: Estudo-PilotoInternal MedicineMedication ErrorsMedication ReconciliationPatient SafetyTransitional CareCuidado TransicionalErros de MedicaçãoMedicina InternaReconciliação de MedicamentosSegurança do DoenteIntroduction: The purpose of medication reconciliation is to promote patient safety by reducing medication errors and adverse events due to medication discrepancies in transition of care. The aim of this pilot study of medication reconciliation at the time of hospital admission was to identify the necessary resources for its implementation in clinical practice.Material and Methods: Pilot study with 100 patients admitted to an Internal Medicine department between October and December 2019, aged 18 and over, and chronically taking at least one medicine. The best possible medication history was obtained systematically, with subsequent identification, classification and resolution of the discrepancies.Results: The study sample, in general characterized by polypharmacy and by having multiple long-term conditions, presented a mean age of 77.04 ± 13.74 years, being 67.0% male. Overall, 791 discrepancies were identified. Intentional discrepancies were 95.7% and 50.9% of them were documented. The difficulties encountered were mainly related with the access and quality of therapeutic information and communication problems between different healthcare professionals. The key priority resources that were identified were related with the process, tools, and personnel categories.Conclusion: The data revealed weaknesses in the clinical records available at the primary/hospital care interface. Optimization of data sources, standardization and informatization of the process, multidisciplinary approach and definition of priority groups were identified as opportunities for optimization.Introdução: A reconciliação terapêutica visa promover a segurança do doente por meio da redução de erros de medicação e eventos adversos decorrentes de discrepâncias de medicação na transição de cuidados. Foi nosso objetivo realizar um estudo-piloto de reconciliação terapêutica no momento da admissão hospitalar para, a partir dele, identificarmos os recursos necessários para a sua implementação na prática clínica.Material e Métodos: Estudo-piloto com 100 doentes admitidos num serviço de Medicina Interna entre outubro e dezembro de 2019, com mais de 18 anos e a tomar cronicamente pelo menos um medicamento. A melhor história farmacoterapêutica possível foi obtida sistematicamente, com posterior identificação, classificação e resolução das discrepâncias.Resultados: A amostra em estudo, em geral polimedicada e com múltiplas morbilidades, apresentou uma média de idades de 77,04 ± 13,74 anos, sendo 67,0% do sexo masculino. Foram identificadas 791 discrepâncias e as intencionais (95,7%) estavam documentadas em 50,9% das situações. As dificuldades encontradas relacionaram-se principalmente com o acesso e a qualidade da informação terapêutica e com a dificuldade de comunicação entre os diversos profissionais de saúde. Os principais recursos prioritários identificados relacionaram-se com as categorias de processo, ferramentas e pessoal.Conclusão: Os dados revelaram fragilidades nos registos clínicos disponíveis na interface dos cuidados primários/hospitalares. A otimização das fontes de dados, normalização e informatização do processo, atuação multidisciplinar e definição de grupos prioritários foram identificadas como oportunidades de otimização.Ordem dos Médicos2022-03-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892oai:ojs.www.actamedicaportuguesa.com:article/16892Acta Médica Portuguesa; Vol. 35 No. 11 (2022): November; 798-806Acta Médica Portuguesa; Vol. 35 N.º 11 (2022): Novembro; 798-8061646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892/6573Direitos de Autor (c) 2022 Acta Médica Portuguesa - Ordem dos Médicosinfo:eu-repo/semantics/openAccessCosta e Silva, ThaísDias, PatríciaAlves e Cunha, CatarinaFeio, JoséLavrador, MartaOliveira, JoelizyFigueiredo, Isabel VitóriaRocha, Marília JoãoCastel-Branco, Margarida2022-12-20T11:07:57Zoai:ojs.www.actamedicaportuguesa.com:article/16892Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:50.293551Repositório 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 |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study Reconciliação Terapêutica na Admissão de um Serviço de Medicina Interna: Estudo-Piloto |
title |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
spellingShingle |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study Costa e Silva, Thaís Internal Medicine Medication Errors Medication Reconciliation Patient Safety Transitional Care Cuidado Transicional Erros de Medicação Medicina Interna Reconciliação de Medicamentos Segurança do Doente |
title_short |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
title_full |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
title_fullStr |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
title_full_unstemmed |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
title_sort |
Medication Reconciliation During Admission to an Internal Medicine Department: A Pilot Study |
author |
Costa e Silva, Thaís |
author_facet |
Costa e Silva, Thaís Dias, Patrícia Alves e Cunha, Catarina Feio, José Lavrador, Marta Oliveira, Joelizy Figueiredo, Isabel Vitória Rocha, Marília João Castel-Branco, Margarida |
author_role |
author |
author2 |
Dias, Patrícia Alves e Cunha, Catarina Feio, José Lavrador, Marta Oliveira, Joelizy Figueiredo, Isabel Vitória Rocha, Marília João Castel-Branco, Margarida |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa e Silva, Thaís Dias, Patrícia Alves e Cunha, Catarina Feio, José Lavrador, Marta Oliveira, Joelizy Figueiredo, Isabel Vitória Rocha, Marília João Castel-Branco, Margarida |
dc.subject.por.fl_str_mv |
Internal Medicine Medication Errors Medication Reconciliation Patient Safety Transitional Care Cuidado Transicional Erros de Medicação Medicina Interna Reconciliação de Medicamentos Segurança do Doente |
topic |
Internal Medicine Medication Errors Medication Reconciliation Patient Safety Transitional Care Cuidado Transicional Erros de Medicação Medicina Interna Reconciliação de Medicamentos Segurança do Doente |
description |
Introduction: The purpose of medication reconciliation is to promote patient safety by reducing medication errors and adverse events due to medication discrepancies in transition of care. The aim of this pilot study of medication reconciliation at the time of hospital admission was to identify the necessary resources for its implementation in clinical practice.Material and Methods: Pilot study with 100 patients admitted to an Internal Medicine department between October and December 2019, aged 18 and over, and chronically taking at least one medicine. The best possible medication history was obtained systematically, with subsequent identification, classification and resolution of the discrepancies.Results: The study sample, in general characterized by polypharmacy and by having multiple long-term conditions, presented a mean age of 77.04 ± 13.74 years, being 67.0% male. Overall, 791 discrepancies were identified. Intentional discrepancies were 95.7% and 50.9% of them were documented. The difficulties encountered were mainly related with the access and quality of therapeutic information and communication problems between different healthcare professionals. The key priority resources that were identified were related with the process, tools, and personnel categories.Conclusion: The data revealed weaknesses in the clinical records available at the primary/hospital care interface. Optimization of data sources, standardization and informatization of the process, multidisciplinary approach and definition of priority groups were identified as opportunities for optimization. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-04 |
dc.type.status.fl_str_mv |
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/16892 oai:ojs.www.actamedicaportuguesa.com:article/16892 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/16892 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16892/6573 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2022 Acta Médica Portuguesa - Ordem dos Médicos info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2022 Acta Médica Portuguesa - Ordem dos Médicos |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 35 No. 11 (2022): November; 798-806 Acta Médica Portuguesa; Vol. 35 N.º 11 (2022): Novembro; 798-806 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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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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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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