Referral letters to the emergency department: is the medication list accurate?

Hdl Handle:
http://hdl.handle.net/10147/559168
Title:
Referral letters to the emergency department: is the medication list accurate?
Authors:
McCullagh, M; O'Kelly, P; Gilligan, P
Citation:
Referral letters to the emergency department: is the medication list accurate? 2015, 108 (2):38-40 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Feb-2015
URI:
http://hdl.handle.net/10147/559168
PubMed ID:
25803952
Abstract:
Medication errors are common when patients transfer across healthcare boundaries. This study was designed to investigate the quality of information on medicines provided by general practitioners (GPs) on emergency department (ED) referral letters. A convenience sample of referral letters to the ED of a teaching hospital was reviewed. The medication list and/or patient's drug allergy status were noted. Medicines reconciliation including patient (or carer) interview was conducted to determine the patient's actual home medication list. This was compared with the GP list and any discrepancies were identified and addressed. A total of 92 referral letters were included in the analysis of which 60 were computer-generated and 32 were hand-written. GPs provided dose and frequency of administration information in 47 (51%) of the letters sampled i.e. 44 (71%) computer-generated versus 3 (10%) hand-written; p < 0.001. In addition, the patient was taking their medicines exactly as per the GP list in 20 (22%) of cases. The patient's drug allergy status was documented in 13 (14%) of the letters.
Item Type:
Article
Language:
en
Keywords:
MEDICATION MANAGEMENT; MEDICATION ERRORS; EMERGENCY CARE; PATIENT REFFERAL
MeSH:
Adult; Aged; Aged, 80 and over; Cohort Studies; Emergency Service, Hospital; Female; General Practitioners; Hospitals, Teaching; Humans; Male; Medication Errors; Medication Reconciliation; Middle Aged; Patient Safety; Referral and Consultation; Young Adult
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCullagh, Men
dc.contributor.authorO'Kelly, Pen
dc.contributor.authorGilligan, Pen
dc.date.accessioned2015-07-07T14:53:03Zen
dc.date.available2015-07-07T14:53:03Zen
dc.date.issued2015-02en
dc.identifier.citationReferral letters to the emergency department: is the medication list accurate? 2015, 108 (2):38-40 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25803952en
dc.identifier.urihttp://hdl.handle.net/10147/559168en
dc.description.abstractMedication errors are common when patients transfer across healthcare boundaries. This study was designed to investigate the quality of information on medicines provided by general practitioners (GPs) on emergency department (ED) referral letters. A convenience sample of referral letters to the ED of a teaching hospital was reviewed. The medication list and/or patient's drug allergy status were noted. Medicines reconciliation including patient (or carer) interview was conducted to determine the patient's actual home medication list. This was compared with the GP list and any discrepancies were identified and addressed. A total of 92 referral letters were included in the analysis of which 60 were computer-generated and 32 were hand-written. GPs provided dose and frequency of administration information in 47 (51%) of the letters sampled i.e. 44 (71%) computer-generated versus 3 (10%) hand-written; p < 0.001. In addition, the patient was taking their medicines exactly as per the GP list in 20 (22%) of cases. The patient's drug allergy status was documented in 13 (14%) of the letters.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectMEDICATION MANAGEMENTen
dc.subjectMEDICATION ERRORSen
dc.subjectEMERGENCY CAREen
dc.subjectPATIENT REFFERALen
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshCohort Studiesen
dc.subject.meshEmergency Service, Hospitalen
dc.subject.meshFemaleen
dc.subject.meshGeneral Practitionersen
dc.subject.meshHospitals, Teachingen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMedication Errorsen
dc.subject.meshMedication Reconciliationen
dc.subject.meshMiddle Ageden
dc.subject.meshPatient Safetyen
dc.subject.meshReferral and Consultationen
dc.subject.meshYoung Adulten
dc.titleReferral letters to the emergency department: is the medication list accurate?en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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