• Login
    View Item 
    •   Home
    • Hospital Research
    • Leinster
    • Tallaght University Hospital
    • View Item
    •   Home
    • Hospital Research
    • Leinster
    • Tallaght University Hospital
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    5118
    UlsterS
    5118
    Connacht
    1710
    Munster
    58
    Leinster
    467

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideNational Health Library & Knowledge ServiceGuide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

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

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Grimes, Tamasine C
    Duggan, Catherine A
    Delaney, Tim P
    Graham, Ian M
    Conlon, Kevin C
    Deasy, Evelyn
    Jago-Byrne, Marie-Claire
    O' Brien, Paul
    Affiliation
    Pharmacy Department, Adelaide and Meath Hospital, incorporating the National, Children's Hospital (AMNCH), Tallaght, Dublin 24 School of Pharmacy , Trinity, College, Dublin 2, Ireland. tagrimes@tcd.ie
    Issue Date
    2012-02-01T10:48:12Z
    MeSH
    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Communication
    Continuity of Patient Care/standards
    Cross-Sectional Studies
    Humans
    Ireland
    Medical History Taking/*methods/standards/statistics & numerical data
    Medication Errors/*prevention & control/statistics & numerical data
    Medication Reconciliation/*methods/standards/statistics & numerical data
    Middle Aged
    Patient Discharge/*standards
    Young Adult
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Br J Clin Pharmacol. 2011 Mar;71(3):449-57. doi:, 10.1111/j.1365-2125.2010.03834.x.
    Journal
    British journal of clinical pharmacology
    URI
    http://hdl.handle.net/10147/207856
    DOI
    10.1111/j.1365-2125.2010.03834.x
    PubMed ID
    21284705
    Abstract
    AIMS: Movement into or out of hospital is a vulnerable period for medication safety. Reconciling the medication a patient is using before admission with the medication prescribed on discharge, and documenting any changes (medication reconciliation) is recommended to improve safety. The aims of the study were to investigate the factors contributing to medication reconciliation on discharge, and identify the prevalence of non-reconciliation. METHODS: The study was a cross-sectional, observational survey using consecutive discharges from purposively selected services in two acute public hospitals in Ireland. Medication reconciliation, potential for harm and unplanned re-admission were investigated. RESULTS: Medication non-reconciliation was identified in 50% of 1245 inpatient episodes, involving 16% of 9569 medications. The majority of non-reconciled episodes had potential to result in moderate (63%) or severe (2%) harm. Handwritten rather than computerized discharges (adjusted odds ratio (adjusted OR) 1.60, 95% CI 1.11, 2.99), increasing number of medications (adjusted OR 1.26, 95% CI 1.21, 1.31) or chronic illness (adjusted OR 2.08, 95% CI 1.33, 3.24) were associated with non-reconciliation. Omission of endocrine, central nervous system and nutrition and blood drugs was more likely on discharge, whilst omission on admission and throughout inpatient care, without documentation, was more likely for obstetric, gynaecology and urinary tract (OGU) or respiratory drugs. Documentation in the discharge communication that medication was intentionally stopped during inpatient care was less likely for cardiovascular, musculoskeletal and OGU drugs. 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.
    Language
    eng
    ISSN
    1365-2125 (Electronic)
    0306-5251 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2125.2010.03834.x
    Scopus Count
    Collections
    Tallaght University Hospital

    entitlement

    Related articles

    • Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.
    • Authors: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, González-García L, Cabeza-Barrera J, Galvez J
    • Issue date: 2015 Nov
    • Interdisciplinary collaboration in the provision of a pharmacist-led discharge medication reconciliation service at an Irish teaching hospital.
    • Authors: Holland DM
    • Issue date: 2015 Apr
    • Exploring discharge prescribing errors and their propagation post-discharge: an observational study.
    • Authors: Riordan CO, Delaney T, Grimes T
    • Issue date: 2016 Oct
    • Applying quality improvement methods to address gaps in medicines reconciliation at transfers of care from an acute UK hospital.
    • Authors: Marvin V, Kuo S, Poots AJ, Woodcock T, Vaughan L, Bell D
    • Issue date: 2016 Jun 9
    • The need for medication reconciliation: a cross-sectional observational study in adult patients.
    • Authors: Knez L, Suskovic S, Rezonja R, Laaksonen R, Mrhar A
    • Issue date: 2011 Oct
    Health Library Ireland | Health Service Executive | Jervis House, Jervis Street | Republic of Ireland | Eircode: D01 W596
    lenus@hse.ie | Tel: +353-1-7786275
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.