Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety

Detalhes bibliográficos
Autor(a) principal: de Sá Soares, Alessandra
Data de Publicação: 2022
Outros Autores: José Trevisol, Daisson, Schuelter-Trevisol, Fabiana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Pharmaceutical Sciences
Texto Completo: https://www.revistas.usp.br/bjps/article/view/200632
Resumo: Medication discrepancies are of great concern in hospitals because they pose risks to patients and increase health care costs. The aim of this study was to estimate the prevalence of inconsistent medication prescriptions to adult patients admitted to a hospital in southern Santa Catarina, Brazil. This was a patient safety study on patients recruited between November 2015 and June 2016. The participants were interviewed and had their medical records reviewed. Discrepant medications were considered those that did not match between the list of medicines taken at home and the prescribed drugs for treatment in a hospital setting. Of the 394 patients included, 98.5% took continuous-use medications at home, with an average of 5.5 medications per patient. Discrepancies totaled 80.2%, The independent variables associated with the discrepancies were systemic arterial hypertension, hypercholesterolemia, vascular disease, number of medications taken at home, and poor documentation of the medications in the medical record. Findings from this study allowed us to conclude there was a high rate of prescription medication misuse. Medication reconciliation is crucial in reducing these errors. Pharmacists can help reduce these medication-related errors and the associated risks and complications.
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spelling Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safetyPatient Safety. Drug Use. Medication Reconciliation. Medication Errors.Medication discrepancies are of great concern in hospitals because they pose risks to patients and increase health care costs. The aim of this study was to estimate the prevalence of inconsistent medication prescriptions to adult patients admitted to a hospital in southern Santa Catarina, Brazil. This was a patient safety study on patients recruited between November 2015 and June 2016. The participants were interviewed and had their medical records reviewed. Discrepant medications were considered those that did not match between the list of medicines taken at home and the prescribed drugs for treatment in a hospital setting. Of the 394 patients included, 98.5% took continuous-use medications at home, with an average of 5.5 medications per patient. Discrepancies totaled 80.2%, The independent variables associated with the discrepancies were systemic arterial hypertension, hypercholesterolemia, vascular disease, number of medications taken at home, and poor documentation of the medications in the medical record. Findings from this study allowed us to conclude there was a high rate of prescription medication misuse. Medication reconciliation is crucial in reducing these errors. Pharmacists can help reduce these medication-related errors and the associated risks and complications.Universidade de São Paulo. Faculdade de Ciências Farmacêuticas2022-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/bjps/article/view/20063210.1590/s2175-979020200004181064Brazilian Journal of Pharmaceutical Sciences; Vol. 57 (2021)Brazilian Journal of Pharmaceutical Sciences; v. 57 (2021)Brazilian Journal of Pharmaceutical Sciences; Vol. 57 (2021)2175-97901984-8250reponame:Brazilian Journal of Pharmaceutical Sciencesinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/bjps/article/view/200632/184922https://www.revistas.usp.br/bjps/article/view/200632/184923Copyright (c) 2022 Brazilian Journal of Pharmaceutical Scienceshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Sá Soares, AlessandraJosé Trevisol, DaissonSchuelter-Trevisol, Fabiana2022-11-08T18:51:57Zoai:revistas.usp.br:article/200632Revistahttps://www.revistas.usp.br/bjps/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpbjps@usp.br||elizabeth.igne@gmail.com2175-97901984-8250opendoar:2022-11-08T18:51:57Brazilian Journal of Pharmaceutical Sciences - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
title Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
spellingShingle Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
de Sá Soares, Alessandra
Patient Safety. Drug Use. Medication Reconciliation. Medication Errors.
title_short Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
title_full Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
title_fullStr Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
title_full_unstemmed Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
title_sort Medication discrepancies in a hospital in Southern Brazil:: the importance of medication reconciliation for patient safety
author de Sá Soares, Alessandra
author_facet de Sá Soares, Alessandra
José Trevisol, Daisson
Schuelter-Trevisol, Fabiana
author_role author
author2 José Trevisol, Daisson
Schuelter-Trevisol, Fabiana
author2_role author
author
dc.contributor.author.fl_str_mv de Sá Soares, Alessandra
José Trevisol, Daisson
Schuelter-Trevisol, Fabiana
dc.subject.por.fl_str_mv Patient Safety. Drug Use. Medication Reconciliation. Medication Errors.
topic Patient Safety. Drug Use. Medication Reconciliation. Medication Errors.
description Medication discrepancies are of great concern in hospitals because they pose risks to patients and increase health care costs. The aim of this study was to estimate the prevalence of inconsistent medication prescriptions to adult patients admitted to a hospital in southern Santa Catarina, Brazil. This was a patient safety study on patients recruited between November 2015 and June 2016. The participants were interviewed and had their medical records reviewed. Discrepant medications were considered those that did not match between the list of medicines taken at home and the prescribed drugs for treatment in a hospital setting. Of the 394 patients included, 98.5% took continuous-use medications at home, with an average of 5.5 medications per patient. Discrepancies totaled 80.2%, The independent variables associated with the discrepancies were systemic arterial hypertension, hypercholesterolemia, vascular disease, number of medications taken at home, and poor documentation of the medications in the medical record. Findings from this study allowed us to conclude there was a high rate of prescription medication misuse. Medication reconciliation is crucial in reducing these errors. Pharmacists can help reduce these medication-related errors and the associated risks and complications.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/bjps/article/view/200632
10.1590/s2175-979020200004181064
url https://www.revistas.usp.br/bjps/article/view/200632
identifier_str_mv 10.1590/s2175-979020200004181064
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/bjps/article/view/200632/184922
https://www.revistas.usp.br/bjps/article/view/200632/184923
dc.rights.driver.fl_str_mv Copyright (c) 2022 Brazilian Journal of Pharmaceutical Sciences
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Brazilian Journal of Pharmaceutical Sciences
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Ciências Farmacêuticas
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Ciências Farmacêuticas
dc.source.none.fl_str_mv Brazilian Journal of Pharmaceutical Sciences; Vol. 57 (2021)
Brazilian Journal of Pharmaceutical Sciences; v. 57 (2021)
Brazilian Journal of Pharmaceutical Sciences; Vol. 57 (2021)
2175-9790
1984-8250
reponame:Brazilian Journal of Pharmaceutical Sciences
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Brazilian Journal of Pharmaceutical Sciences
collection Brazilian Journal of Pharmaceutical Sciences
repository.name.fl_str_mv Brazilian Journal of Pharmaceutical Sciences - Universidade de São Paulo (USP)
repository.mail.fl_str_mv bjps@usp.br||elizabeth.igne@gmail.com
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