AMIA Annu Symp Proc - Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists.

Tópicos

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Resumo

Inaccurate records of pre-admission medication exposure have been identified as a major source of medication error. Authors collected records of patients' pre-admission medications: 1) the most recent outpatient medication list ("EMR"), 2) the medication list recorded by admitting providers ("H&P"), and 3) a list generated by a medication reconciliation process conducted by nursing staff ("PAML"). Forty-eight sets of pre-admission records composed of 1087 medication entries were compared to a reference standard generated by trained study staff conducting an independent interview. Sensitivity was greatest for PAML (85%), compared to EMR (76%) and H&P (76%) sources. However, positive predictive value was greatest for the H&P source at 96% vs 88% and 91% for PAML and EMR sources respectively. Potentially harmful medication discrepancies were found within all lists. The authors concluded no single list was sufficiently accurate to avoid serious medication errors.

Resumo Limpo

inaccur record preadmiss medic exposur identifi major sourc medic error author collect record patient preadmiss medic recent outpati medic list emr medic list record admit provid hp list generat medic reconcili process conduct nurs staff paml fortyeight set preadmiss record compos medic entri compar refer standard generat train studi staff conduct independ interview sensit greatest paml compar emr hp sourc howev posit predict valu greatest hp sourc vs paml emr sourc respect potenti harm medic discrep found within list author conclud singl list suffici accur avoid serious medic error

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