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A survey on patients medication reconciliation process in an oncological hospital
Örebro University Hospital. Hospital Pharmacy, Veneto Institute of Oncology - IRCCS, Padua, Italy. (Nutrition Gut Brain Interactions)
Hospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy; School of Hospital Pharmacy, University of Padua, Italy.
Pharmaceutical Department, Local Health Unit n. 6 Euganea, Padua, Italy.
Hospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy.
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2017 (English)In: Recenti Progressi in Medicina, ISSN 00341193, Vol. 108, no 3, p. 141-148Article in journal (Other academic) Published
Abstract [en]

Objectives. The purpose of this study was to assess the impact of medication reconciliation in the clinical practice from a hospital pharmacist point of view.

Methods. A survey of the medication taken by cancer patients was performed on admission and on discharge in an Oncological hospital, and then the subjects were followed up until discharge for 8 weeks. The pharmacist entered the data collected into a computer based tool which, by using Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions (STOPP criteria) and Micromedex™ interactions database, automatically produces a report indicating the possible inconsistencies. The report is to check all potentially inappropriate prescriptions (PIPs) correlated to the drugs assumption by the patient. The appropriateness of the medication was scored using a Medication Appropriateness Index (MAI index) which was used to reconcile the medication list accordingly.

Results. Patients reconciled at admission were 98, while patients reconciled at discharge were 90, 8 patients dropped out due to death. After the intervention of the hospital pharmacist, the average value of MAI index showed a significant reduction (3,391 to 2,552 p=0.039) and the median number of drugs prescribed per patient was decreased (7 vs 6; p=0.8058).

Conclusion. Our study demonstrated that the forms used in the reconciliation process, in particular the record card, is a promising method to increase the quality of the information related to drug use in clinical decisions. We think that medication reconciliation softwares should be widely used by health care professionals involved in the recording of drug history or prescription process.

Place, publisher, year, edition, pages
Rome, Italy: Il Pensiero Scientifico Editore , 2017. Vol. 108, no 3, p. 141-148
Keywords [en]
Drug interactions, Medication Appropriateness Index, medication reconciliation, oncology, patients safety, potentially inappropriate prescriptions
National Category
Medical and Health Sciences Pharmacology and Toxicology
Research subject
Pharmaceutical Pharmacology
Identifiers
URN: urn:nbn:se:oru:diva-65206DOI: 10.1701/2656.27237PubMedID: 28398408Scopus ID: 2-s2.0-85021124174OAI: oai:DiVA.org:oru-65206DiVA, id: diva2:1185422
Note

Note: The name of "IRCCS" or technically “Istituto di Ricovero e Cura a Carattere Scientifico” indicates biomedical institutions of relevant national interest, which drive clinical assistance in strong relation to research activities.

Available from: 2018-02-24 Created: 2018-02-24 Last updated: 2018-08-14Bibliographically approved

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