Medication reconciliation at admission in old patients
- Autores: C.B. Rubio, Noelia Garrido Peño, María Segura Bedmar, M. Ferrit Martín, Cristina Calderón Acedos
- Localización: European journal of clinical pharmacy: atención farmacéutica, ISSN 2385-409X, Vol. 16, Nº. 1, 2014, págs. 13-22
- Idioma: inglés
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Resumen
Objective: To implement the reconciliation process in patients over 75 years, classify and analyze discrepancies and reconciliation errors. Method: Retrospective observational study in which discrepancies were classified according to the «Consensus Document on Terminology and Classification in Medication Reconciliation». We assessed the severity of reconciliation errors, pharmacotherapeutic groups involved and associated risk factors. Results: 192 patients were identified. The 88.54% presented discrepancies. 66.07% were justified and in the 33.93% it was necessary to contact the physician. Among the discrepancies that required clarification, about 38% were accepted by the physician as reconciliation errors. The rest were distributed as justified discrepancies and unresolved discrepancies (reaching almost a 50%). In relation to severity, the highest percentage was category C. The affected drugs belonged to the cardiovascular, nervous and digestive system. There were no risk factors associated with the presence of these errors. Conclusion: There is a high susceptibility of occurrence of reconciliation errors in these patients regardless of other factors, making it necessary to introduce a reconciliation process to prevent them
