Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Insufficient communication about medication use at the interface between hospital and primary care

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. A managed multidisciplinary programme on multi-resistant Klebsiella pneumoniae in a Danish university hospital

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Prescription data improve the medication history in primary care

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. High-Dose Glucagon Has Hemodynamic Effects Regardless of Cardiac Beta-Adrenoceptor Blockade: A Randomized Clinical Trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Access and Use of Device-Aided Therapies for Parkinson's Disease in Denmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Smartphone App to Self-Monitor Nausea During Pediatric Chemotherapy Treatment: User-Centered Design Process

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Midazolam Pharmacokinetics in Obese and Non-obese Children and Adolescents

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Lack of updated and uniform medication lists poses a problem for the continuity in patient care. The aim of this study was to estimate whether hospitals succeed in making accurate medication lists congruent with patients' actual medication use. Subsequently, the authors evaluated where errors were introduced and the possible implications of incongruent medication lists.

METHODS: Patients were visited within one week after discharge from surgical or medical department and interviewed about their use of prescription-only medication (POM). Stored drugs were inspected. Medication lists in hospital files and discharge letters were compared with the list obtained during the interview. The frequency of incorrect medication use and the potential consequences were estimated.

RESULTS: A total of 83 surgical and 117 medical patients were included (n = 200), 139 patients (70%) were women. Median age was 75 years. Six patients stored no POM, 194 patients stored 1189 POM. Among the 955 currently-used POM, 749 POM (78%) were registered at some point during hospitalisation but only 444 (46%) were registered in discharge letters. 66 POM users had no medication list in their discharge letter. Local treatments (skin, eyes, airways) were registered less frequently than drugs administered orally. In total, 179 of the currently-used POM (19%) were not mentioned anywhere in hospital files, probably because of insufficient medication lists made at admission, and the prescribed regimen was unclear. At least 63 POM (7% of currently-used POM) were used in disagreement with the prescribed regimen.

DISCUSSION: Approximately one fifth of used POM is unknown to the hospital and only half of used POM registered in discharge letters. Insufficient medication lists hamper clarifying whether or not patients use medication according to prescription. In order to prevent medication errors a systematic follow-up after discharge focusing on making an updated medication list might be needed.

OriginalsprogEngelsk
TidsskriftQuality & safety in health care
Vol/bind16
Udgave nummer1
Sider (fra-til)34-9
Antal sider6
ISSN2044-5415
DOI
StatusUdgivet - feb. 2007

ID: 49582240