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Bispebjerg Hospital - a part of Copenhagen University Hospital

Discrepancies Between the Medication List in Electronic Prescribing Systems and Patients' Actual Use of Medicines

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  • Cille Bülow
  • Christine Flagstad Bech
  • Kirstine Ullitz Faerch
  • Jon Trærup Andersen
  • Helle Byg Armandi
  • Charlotte Treldal
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Discrepancies between electronic prescribing systems and patients' actual use of medicines can result in adverse events and medication errors and have serious consequences for the patients. The discrepancies can be identified when performing a thorough medication reconciliation. Computerized health care systems throughout the Danish health care sector are integrated with the Shared Medication Record (SMR). In the SMR, current medication and medication prescriptions are registered. The aim of this study was to evaluate the number and types of discrepancies between medications listed in the SMR and an updated medication list, obtained through a thorough medication reconciliation, for patients admitted in Danish hospitals. Pharmacists listed the number and type of discrepancies for 412 patients. A total of 1,004 discrepancies were registered, with a mean number of 2.4 medication discrepancies per patient. For 25% (n = 101) of the patients, no discrepancies were found, 20% (n = 86) had one discrepancy, and 16% (n = 66) had five or more discrepancies. More than 50% of the patients had one or more medications in the SMR that the patient did not administer, and 12.6% used medications that were not listed in the SMR. This shows that the SMR should not be used as the only source of information when recording medication history.

Original languageEnglish
JournalThe Senior care pharmacist
Issue number5
Pages (from-to)317-324
Number of pages8
Publication statusPublished - 1 May 2019

    Research areas

  • Drug Prescriptions, Electronic Prescribing, Humans, Medication Errors, Medication Reconciliation, Pharmacists

ID: 57952449