Accuracy of patient self-administered medication history forms in the emergency department - 13/12/19
, Martina Salib, BPharm a , Sohileh Aran, BPharm a , James Edwards, MBBS, MMedEd b , Asad E. Patanwala, PharmD, MPH a, c, ⁎ Abstract |
Objectives |
The primary objective of this study was to determine the proportion of patients with medication discrepancies when using a self-administered medication history form in the emergency department (ED). The secondary objectives were to identify predictors of medication discrepancies and determine the proportion of patients with a high-risk medication discrepancy.
Methods |
This was a cross-sectional study conducted in an urban ED in Australia. Patients completed a self-administered medication history form while waiting to be seen by a physician. Subsequently, a best possible medication history was taken by a pharmacist to determine accuracy of the self-reported medication lists for patients with planned admissions. Discrepancies between the two medication lists were reported descriptively. A Poisson regression analysis was conducted to identify predictors of the rate of discrepancies. Associations were reported as incident rate ratios (IRR).
Results |
A total of 138 patients were included in the study. The total number of discrepancies was as follows: 0 (25%, n = 34), 1 (34%, n = 47), 2 (11%, n = 15), and ≥3 (30%, n = 42). The number of medications (IRR 1.11, 95% CI 1.09 to 1.14, p < 0.001), female (IRR 1.51, 95% CI 1.18 to 1.92, p = 0.001), and missing community pharmacy information (IRR 2.10, 95% CI 1.64 to 2.68, p < 0.001) were significantly associated with rate of discrepancies. Overall, 20% (n = 28) of patients had one or more high-risk medication discrepancies.
Conclusion |
Patient self-administered medication history forms have a high rate of discrepancies and should be verified by a best possible medication history.
Le texte complet de cet article est disponible en PDF.Keywords : Medication errors, Emergency service hospital, Medication history taking, Medication reconciliation
Plan
Vol 38 - N° 1
P. 50-54 - janvier 2020 Retour au numéro
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