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Clinical pharmacist-led program on medication reconciliation implementation at hospital admission: experience of a single university hospital in Croatia

Ivana Marinović, Srećko Marušić, Iva Mucalo, Jasna Mesarić, Vesna Bačić Vrca
2016 Croatian Medical Journal  
during a 1-year period (October 2014 -September 2015) as a part of the implementation of Safe Clinical Practice, Medication Reconciliation of the European Network for Patient Safety and Quality of Care  ...  Conclusion Around 60% of medication errors were assessed as having the potential to threaten the patient safety.  ...  All available sources of information used to obtain the BPMH were recorded.  ... 
doi:10.3325/cmj.2016.57.572 pmid:28051282 pmcid:PMC5209936 fatcat:edlgv4cxmbdq7ik7tda2kr2kxu

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation

Tamasine C. Grimes, Catherine A. Duggan, Tim P. Delaney, Ian M. Graham, Kevin C. Conlon, Evelyn Deasy, Marie-Claire Jago-Byrne, Paul O' Brien
2011 British Journal of Clinical Pharmacology  
Errors involving the dose were most likely for respiratory drugs. CONCLUSIONS The findings inform strategies to facilitate medication reconciliation on discharge from acute hospital care.  ...  WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT RESULTS Medication non-reconciliation was identified in 50% of 1245 inpatient episodes, involving 16% of 9569 medications.The majority of non-reconciled episodes  ...  Use of the handwritten discharge process was more likely to result in one or more non-reconciliation than the computerized process.  ... 
doi:10.1111/j.1365-2125.2010.03834.x pmid:21284705 pmcid:PMC3045555 fatcat:7sdtzyg2cvfyhmc3gb77pluwca

Prescribing discrepancies likely to cause adverse drug events after patient transfer

K S Boockvar, S Liu, N Goldstein, J Nebeker, A Siu, T Fried
2009 BMJ Quality & Safety  
Information about ADEs caused by medication discrepancies can be used to enhance measurement of care quality, identify high-risk patients, and inform development of decision-support tools at the time of  ...  We calculated the discrimination of a count of high-risk drug discrepancies, selected from published lists of high-risk medications and using observed PPVs.  ...  Acknowledgments The authors would like to acknowledge the assistance of Toy Mordiglia and Bella Fridman in data collection.  ... 
doi:10.1136/qshc.2007.025957 pmid:19204129 pmcid:PMC2728360 fatcat:cduty5eczffzhk7nnpcnxijiwm

Automatic detection of omissions in medication lists

Sharique Hasan, George T Duncan, Daniel B Neill, Rema Padman
2011 JAMIA Journal of the American Medical Informatics Association  
In this article, the authors argue that patient information in electronic medical records, combined with artificial intelligence methods, can enhance medication reconciliation.  ...  In this article, the authors propose the application of collaborative filtering methods to the medication reconciliation task.  ...  As such, electronic records provide us with the capacity to use medication information from a large population of patients to increase the accuracy of an individual patient's list.  ... 
doi:10.1136/amiajnl-2011-000106 pmid:21447497 pmcid:PMC3128402 fatcat:2jmo5jfkwne43nwwuvjknbkivi

Dangers of Polypharmacy [chapter]

Pamela L. Valenza, Thomas C. McGinley, James Feldman, Pritiben Patel, Kristine Cornejo, Najmus Liang, Roopa Anmolsingh, Noble McNaughton
2017 Vignettes in Patient Safety - Volume 1  
With the prevalence of polypharmacy increasing, those in the health care ield must remain vigilant of the adverse efects of medications and work to coordinate care and maintain appropriate prescribing  ...  Here we present a clinical vignete that describes an encounter of a patient on multiple medications and the individual, provider, and systems-level issues that may have contributed to an adverse event  ...  None of the providers utilize the same electronic medical record system.  ... 
doi:10.5772/intechopen.69169 fatcat:3rhba5o4rfbjheauc54evqteou

Parents as Partners in Obtaining the Medication History

S. C. Porter
2005 JAMIA Journal of the American Medical Informatics Association  
Methods: We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma.  ...  Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation  ...  Electronic strategies to support patient safety such as computerized provider order entry (CPOE) require, in part, an accurate and complete report of current medications to allow assessment of risks posed  ... 
doi:10.1197/jamia.m1713 pmid:15684127 pmcid:PMC1090461 fatcat:3horc3oanza3bmt4yquozhsumq

Theory and Practice

Keith F. Woeltje
2006 Infection control and hospital epidemiology  
by the surgeon at the time of outpatient follow-up or review of the outpatient medical record.  ...  The ACDS/PACDS approach needs to be validated with other types of surgery and at other institutions, but it may provide a more useful measure of comorbidities than does the ASA score.  ... 
doi:10.1086/506979 pmid:16874637 fatcat:3wkuiwm33ngybcymixkmiselcy

Predicting inpatient pharmacy order interventions using provider action data

Martina Balestra, Ji Chen, Eduardo Iturrate, Yindalon Aphinyanaphongs, Oded Nov
2021 JAMIA Open  
The widespread deployment of electronic health records (EHRs) has introduced new sources of error and inefficiencies to the process of ordering medications in the hospital setting.  ...  Providers' actions can serve as useful predictors in identifying medication orders that require pharmacy intervention.  ...  [21] [22] [23] This is LAY SUMMARY The widespread deployment of electronic health records (EHRs) has introduced new sources of error to the process of ordering medications in the hospital setting.  ... 
doi:10.1093/jamiaopen/ooab083 pmid:34617009 pmcid:PMC8490931 fatcat:jut6auep5fairdegqma7uyij2e

Do Combined Pharmacist and Prescriber Efforts on Medication Reconciliation Reduce Postdischarge Patient Emergency Department Visits and Hospital Readmissions?

Michelle Baker, Chaim M Bell, Wei Xiong, Edward Etchells, Peter G Rossos, Kaveh G Shojania, Kelly Lane, Tim Tripp, Mary Lam, Kimindra Tiwana, Derek Leong, Gary Wong (+3 others)
2017 Journal of Hospital Medicine  
Acknowledgments The authors thank Nita Dhir, MBA.  ...  METHODS We conducted a retrospective, observational, analytical cohort study using QuadraMed's Computerized Patient Record and the EMITT (Electronic Medication Information Transfer Tool) 15 to collect  ...  The number of medications on the medication discharge list was determined by using the electronic database.  ... 
doi:10.12788/jhm.2857 pmid:29069119 fatcat:tl7gpkxqnvd3ndkeh7l6awz3ci

Antipsychotic Use in Hospitalized Adults: Rates, Indications, and Predictors

Shoshana J. Herzig, Michael B. Rothberg, Jamey R. Guess, Jennifer P. Stevens, John Marshall, Jerry H. Gurwitz, Edward R. Marcantonio
2016 Journal of The American Geriatrics Society  
We investigated patterns and predictors of use in hospitalized patients. Design-Retrospective cohort study. Setting-Academic medical center.  ...  Background/Objectives-Although antipsychotics are used for treatment of delirium/agitation in hospitalized patients, the scope of use is unknown.  ...  Preadmission medications were obtained from an electronic medication reconciliation application, which went into full use at the medical center in 7/2012.  ... 
doi:10.1111/jgs.13943 pmid:26889839 pmcid:PMC4762184 fatcat:oacc2zljwrcgndms7dbsgqb3je

Comparison of Information Content of Structured and Narrative Text Data Sources on the Example of Medication Intensification

A. Turchin, M. Shubina, E. Breydo, M. L. Pendergrass, J. S. Einbinder
2009 JAMIA Journal of the American Medical Informatics Association  
Measurements: The authors determined the fraction of medication intensification events documented in both narrative and structured data in the electronic medical record.  ...  A b s t r a c t Objective: To compare information obtained from narrative and structured electronic sources using anti-hypertensive medication intensification as an example clinical issue of interest.  ...  Blood pressure values and anti-hypertensive treatment intensification were computationally abstracted from the text of physician notes in the electronic medical record using a previously validated text  ... 
doi:10.1197/jamia.m2777 pmid:19261947 pmcid:PMC2732236 fatcat:3t65y5sxbbdh5dr46mqstry6hu

Medication adherence: emerging use of technology

Bradi B Granger, Hayden B Bosworth
2011 Current Opinion in Cardiology  
The use of technology to identify patients at risk and to target interventions for poor adherence has increased.  ...  Summary-Integration of in-person contacts with technology-driven medication adherence reminders, electronic medication reconciliation and pharmaceutical databases may improve medication adherence and have  ...  medical record to trigger medication reconciliation by primary care physicians.  ... 
doi:10.1097/hco.0b013e328347c150 pmid:21597368 pmcid:PMC3756138 fatcat:fwtjf5arbjdnbaxoodtweaxq4m

Clinical Pharmacy Discharge Counseling Service and the Impact on Readmission Rates in High-Risk Patients

Emmanuel Aniemeke, Barrett Crowther, Stephanie Younts, Darrel Hughes, Crystal Franco-Martinez
2017 Hospital Pharmacy  
Objective: The objective of this study was to evaluate the effects of a discharge medication counseling service on readmission rates, emergency department (ED) visits, and days to first readmission or  ...  A number of patient safety and transition of care initiatives have highlighted the benefits of incorporating a clinical pharmacist in the discharge medication process.  ...  The risk assessment is integrated into the electronic medical record to allow providers quick and easy access to risk scores based on information already entered into the record.  ... 
doi:10.1177/0018578717715355 pmid:28804150 pmcid:PMC5551633 fatcat:brpxubtbtndbph6q2yifdqhtai

Computerized Provider Order Entry Reduces Length of Stay in a Community Hospital

K. Peters, S.H. Shaha, R. Schreiber
2014 Applied Clinical Informatics  
Most prior studies were done in university settings with home-grown electronic records, and are now 20 years old.  ...  Correlational and regression analyses were cross-checked to ensure validity of R-square coefficients, and data were smoothed for ease of display.  ...  Acknowledgments The authors thank Gil Kuperman and Jos Aarts for their helpful suggestions regarding literature review; Ross Koppel for extensive critique of and suggestions for the draft of the manuscript  ... 
doi:10.4338/aci-2014-04-ra-0029 pmid:25298809 pmcid:PMC4187086 fatcat:fyhia4xtuvbtddtcnezxpoomta

CSHP Professional Practice Conference 2009: Poster Abstracts/Conférence sur la pratique professionnelle 2009 de la SCPH : Résumés des affiches

2009 The Canadian Journal of Hospital Pharmacy  
The admission, BPMH and AMR information for each patient were recorded using the Electronic Patient Record and EMITT.  ...  Chart review was performed using scanned charts available electronically. Standard data sheets were used to manually record data.  ... 
pmid:22478869 pmcid:PMC2826905 fatcat:a5s2fejn3jblfcdd5vyfcsghyy
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