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medicines reconciliation

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https://www.readbyqxmd.com/read/27890453/transition-of-care-a-set-of-pharmaceutical-interventions-improves-hospital-discharge-prescriptions-from-an-internal-medicine-ward
#1
Marine Neeman, Maria Dobrinas, Sophie Maurer, Damien Tagan, Annelore Sautebin, Anne-Laure Blanc, Nicolas Widmer
BACKGROUND: Continuity of care between hospitals and community pharmacies needs to be improved to ensure medication safety. This study aimed to evaluate whether a set of pharmaceutical interventions to prepare hospital discharge facilitates the transition of care. METHODS: This study took place in the internal medicine ward and in surrounding community pharmacies. The intervention group's patients underwent a set of pharmaceutical interventions during their hospital stay: medication reconciliation at admission, medication review, and discharge planning...
November 24, 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27884844/medication-reconciliation-as-a-medication-safety-initiative-in-ethiopia-a-study-protocol
#2
Alemayehu B Mekonnen, Andrew J McLachlan, Jo-Anne E Brien, Desalew Mekonnen, Zenahebezu Abay
INTRODUCTION: Medication related adverse events are common, particularly during transitions of care, and have a significant impact on patient outcomes and healthcare costs. Medication reconciliation (MedRec) is an important initiative to achieve the Quality Use of Medicines, and has been adopted as a standard practice in many developed countries. However, the impact of this strategy is rarely described in Ethiopia. The aims of this study are to explore patient safety culture, and to develop, implement and evaluate a theory informed MedRec intervention, with the aim of minimising the incidence of medication errors during hospital admission...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27826152/impact-of-pharmanet-based-admission-medication-reconciliation-on-best-possible-medication-histories-for-warfarin
#3
Debbie Au, Hilary Wu, Cindy San, Doson Chua, Victoria Su, Allison Kirkwood
BACKGROUND: Inaccurate documentation of medication histories may lead to medication discrepancies during hospital admissions. Obtaining a best possible medication history (BPMH) for warfarin can be challenging because of frequent dosage changes and nonspecific directions of use (e.g., "take as directed"). On February 27, 2012, the study hospital implemented an admission medication reconciliation (MedRec) process using a form that compiled the most recent 6 months of outpatient prescription dispensing history from a provincial electronic database called PharmaNet...
September 2016: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/27822371/improving-admission-medication-reconciliation-compliance-using-the-electronic-tool-in-admitted-medical-patients
#4
Haytham Taha, Dana Abdulhay, Neama Luqman, Samer Ellahham
Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity that is fully occupied most of the time. SKMC senior management has made a commitment to make quality and patient safety a top priority. Our governing body Abu Dhabi Health Services Company has identified medication reconciliation as a critical patient safety measure and key performance indicator (KPI). The medication reconciliation electronic form a computerized decision support tool was introduced to improve medication reconciliation compliance on transition of care at admission, transfer and discharge of patients both in the inpatient and outpatient settings...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27807384/responses-of-the-canadian-colleges-of-veterinary-medicine-and-the-veterinary-profession-to-recommendations-of-the-truth-and-reconciliation-commission-a-new-way-forward
#5
Claire E Card
No abstract text is available yet for this article.
November 2016: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/27618841/prevalence-of-medication-discrepancies-in-patients-with-cirrhosis-a-pilot-study
#6
Kelly L Hayward, Patricia C Valery, W Neil Cottrell, Katharine M Irvine, Leigh U Horsfall, Caroline J Tallis, Veronique S Chachay, Brittany J Ruffin, Jennifer H Martin, Elizabeth E Powell
BACKGROUND: Cirrhosis patients are prescribed multiple medications for their liver disease and comorbidities. Discrepancies between medicines consumed by patients and those documented in the medical record may contribute to patient harm and impair disease management. The aim of the present study was to assess the magnitude and types of discrepancies among patient-reported and medical record-documented medications in patients with cirrhosis, and examine factors associated with such discrepancies...
September 13, 2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27571493/analysis-of-the-medication-reconciliation-process-conducted-at-hospital-admission
#7
María Beatriz Contreras Rey, Yolanda Arco Prados, Ernesto Sánchez Gómez
OBJECTIVE: To analyze the outcomes of a medication reconciliation process at admission in the hospital setting. To assess the role of the Pharmacist in detecting reconciliation errors and preventing any adverse events entailed. METHOD: A retrospective study was conducted to analyze the medication reconciliation activity during the previous six months. The study included those patients for whom an apparently not justified discrepancy was detected at admission, after comparing the hospital medication prescribed with the home treatment stated in their clinical hospital records...
July 2016: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/27570985/-medicines-reconciliation-at-hospital-admission-into-an-electronic-prescribing-program
#8
Lucía Villamayor-Blanco, Leticia Herrero-Poch, Jose Carlos De-Miguel-Bouzas, M Carmen Freire Vazquez
OBJECTIVE: To describe and to analyse a new method of integrated medicines reconciliation in an electronic prescribing program results. METHOD: 12-month, prospective, observational, non-randomized and uncontrolled study, in which all patients who were admitted, during that year, to a general hospital of 450 beds. The electronic prescribing program was used for medication reconciliation as a means to multidisciplinary approach (nurses, doctors, pharmacists). This reconciliation was done at the time of hospital admission and reconciliation errors were measured...
September 2016: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/27558355/prevalence-and-risk-factors-for-medication-reconciliation-errors-during-hospital-admission-in-elderly-patients
#9
Blanca Rodríguez Vargas, Eva Delgado Silveira, Irene Iglesias Peinado, Teresa Bermejo Vicedo
Background Care transitions are risk points for medication discrepancies, especially in the elderly. Objective This study was undertaken to assess prevalence and describe medication reconciliation errors during admission in elderly patients and to analyze associated risk factors. We also evaluate the effect of these errors on the length of hospital stay. Setting General surgery, orthopedics, internal medicines and infectious diseases departments of a 1070-bed Spanish teaching hospital. Method This is a prospective observational study...
October 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27540236/medicines-reconciliation-for-paediatric-patients-on-admission-and-discharge
#10
Maria Moss, Celine Bilbul, Jo Crook
INTRODUCTION: National guidance from National Institute for Health and Clinical Excellence (NICE), National Patient Safety Agency (NPSA), World Health Organization and the Royal Pharmaceutical Society has long highlighted the importance of accurate and timely medicines reconciliation (MR) in reducing medication errors for patients upon transfer of care setting.1 (-) 4 Current guidance for MR excludes children <16 years of age, where widespread use of off-label and unlicensed formulations puts this group of patients at a higher risk...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540220/assessing-pharmaceutical-care-needs-of-paediatric-in-patients-a-team-based-approach
#11
Adele Mott, Susan Kafka, Adam Sutherland
AIMS: To pilot a novel approach to providing pharmaceutical care to paediatric inpatients using structured referral and assessment tools. Using standardised referral criteria to ensure patients are assessed by appropriately skilled pharmacists. METHOD: Three wards of varying acuity and specialism were selected in a tertiary children's hospital in England - General Paediatric Ward (GPW), High Dependency Unit (HDU) and Haematology/Oncology Ward (HOW). The project ran for three months...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27505157/pharmacist-physician-communications-in-a-highly-computerised-hospital-sign-off-and-action-of-electronic-review-messages
#12
Sarah K Pontefract, James Hodson, John F Marriott, Sabi Redwood, Jamie J Coleman
BACKGROUND: Some hospital Computerized Physician Order Entry (CPOE) systems support interprofessional communication. The aim of this study was to investigate the effectiveness of pharmacist-physician messages sent via a CPOE system. METHOD: Data from the year 2012 were captured from a large university teaching hospital CPOE database on: 1) review messages assigned by pharmacists; 2) details of the prescription on which the messages were assigned; and 3) details of any changes made to the prescription following a review message being assigned...
2016: PloS One
https://www.readbyqxmd.com/read/27472788/developing-a-family-medicine-postgraduate-training-program-in-zambia
#13
Jim Sanders, Fastone Goma, Elliot Kafumukache, Mary Ngoma, Selestine Nzala
The last decade has seen a number of educational programs in family medicine begin throughout the African region as many countries have recognized that family medicine offers an efficient way to meet the growing health demands of their country. Zambia's health situation is similar to many countries in sub-Saharan Africa by having a wide array of compelling health demands and a health sector with a limited capacity to meaningfully respond. This paper describes the efforts to begin Zambia's first post-graduate training program for family medicine...
July 2016: Family Medicine
https://www.readbyqxmd.com/read/27391991/evaluation-of-prediction-strategy-and-care-coordination-for-copd-readmissions
#14
Babar Bashir, Doron Schneider, Mary C Naglak, Thomas M Churilla, Marguerite Adelsberger
OBJECTIVES: Factors that influence the likelihood of readmission for chronic obstructive pulmonary disease (COPD) patients and the impact of posthospital care coordination remain uncertain. LACE index (L = length of stay, A = Acuity of admission; C = Charlson comorbidity index; E = No. of emergency department (ED) visits in last 6 months) is a validated tool for predicting 30-days readmissions for general medicine patients. We aimed to identify variables predictive of COPD readmissions including LACE index and determine the impact of a novel care management process on 30-day all-cause readmission rate...
August 2016: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/27382268/methods-to-reduce-prescribing-errors-in-elderly-patients-with-multimorbidity
#15
REVIEW
Amanda H Lavan, Paul F Gallagher, Denis O'Mahony
The global population of multimorbid older people is growing steadily. Multimorbidity is the principal cause of complex polypharmacy, which in turn is the prime risk factor for inappropriate prescribing and adverse drug reactions and events. Those who prescribe for older frailer multimorbid people are particularly prone to committing prescribing errors of various kinds. The causes of prescribing errors in this patient population are multifaceted and complex, including prescribers' lack of knowledge of aging physiology, geriatric medicine, and geriatric pharmacotherapy, overprescribing that frequently leads to major polypharmacy, inappropriate prescribing, and inappropriate drug omission...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27354748/reducing-readmission-at-an-academic-medical-center-results-of-a-pharmacy-facilitated-discharge-counseling-and-medication-reconciliation-program
#16
Christopher T Zemaitis, Ginger Morris, Maribeth Cabie, Osama Abdelghany, Lorraine Lee
BACKGROUND: Hospital readmission has been identified as a key quality indicator and a target for reducing health care spending. OBJECTIVE: To evaluate the impact of a pharmacy-facilitated medication reconciliation and patient education model with post discharge follow-up on 30-day readmissions. METHODS: This prospective, historical control study included all patients admitted during a 6-month period to a general medicine unit with the highest 30-day readmission rate at Yale-New Haven Hospital...
June 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27298139/pharmacy-led-medicine-reconciliation-at-hospital-a-systematic-review-of-effects-and-costs
#17
Eman A Hammad, Amanda Bale, David J Wright, Debi Bhattacharya
BACKGROUND: Transition of patients care between settings presents an increased opportunity for errors and preventable morbidity. A number of studies outlined that pharmacy-led medicine reconciliation (MR) might facilitate safer information transfer and medication use. MR practice is not well standardized and often delivered in combination with other health care activities. The question regarding the effects and costs of pharmacy-led MR and the optimum MR practice is warranted of value...
May 12, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27253380/priority-setting-and-influential-factors-on-acceptance-of-pharmaceutical-recommendations-in-collaborative-medication-reviews-in-an-ambulatory-care-setting-analysis-of-a-cluster-randomized-controlled-trial-westgem-study
#18
Olaf Rose, Hugo Mennemann, Carina John, Marcus Lautenschläger, Damaris Mertens-Keller, Katharina Richling, Isabel Waltering, Stefanie Hamacher, Moritz Felsch, Lena Herich, Kathrin Czarnecki, Corinna Schaffert, Ulrich Jaehde, Juliane Köberlein-Neu
BACKGROUND: Medication reviews are recognized services to increase quality of therapy and reduce medication risks. The selection of eligible patients with potential to receive a major benefit is based on assumptions rather than on factual data. Acceptance of interprofessional collaboration is crucial to increase the quality of medication therapy. OBJECTIVE: The research question was to identify and prioritize eligible patients for a medication review and to provide evidence-based criteria for patient selection...
2016: PloS One
https://www.readbyqxmd.com/read/27224727/evaluation-of-a-deterministic-grid-based-boltzmann-solver-gbbs-for-voxel-level-absorbed-dose-calculations-in-nuclear-medicine
#19
Justin Mikell, S Cheenu Kappadath, Todd Wareing, William D Erwin, Uwe Titt, Firas Mourtada
To evaluate the 3D Grid-based Boltzmann Solver (GBBS) code ATTILA (®) for coupled electron and photon transport in the nuclear medicine energy regime for electron (beta, Auger and internal conversion electrons) and photon (gamma, x-ray) sources. Codes rewritten based on ATTILA are used clinically for both high-energy photon teletherapy and (192)Ir sealed source brachytherapy; little information exists for using the GBBS to calculate voxel-level absorbed doses in nuclear medicine. We compared DOSXYZnrc Monte Carlo (MC) with published voxel-S-values to establish MC as truth...
June 21, 2016: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/27216576/-prospective-study-in-2-hospitals
#20
M T Jiménez-Buñuales, M S Martínez-Sáenz, P González-Diego, M Vallejo-García, J Gallardo-Anciano, A Cestafe-Martínez
OBJECTIVES: The purpose of this study is to know the incidence rate of medication reconciliation at admission and discharge in patients of La Rioja and to improve the patient safety on medication reconciliation. MATERIAL AND METHODS: An observational prospective study, part of the Joint Action PaSQ, Work Package 5, European Union Network for Patient Safety and Quality of Care. The study has taken into account the definitions of the Institute for Safe Medication Practices...
June 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
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