Arenas-Villafranca JJ, Moreno-Santamaría M, López Gómez C, Muñoz Gómez-Millán I, Álvaro Sanz E, Tortajada-Goitia B. An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions.
Eur J Hosp Pharm 2018;
25:e62-e65. [PMID:
31157069 DOI:
10.1136/ejhpharm-2017-001392]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 12/18/2017] [Accepted: 01/02/2018] [Indexed: 11/03/2022] Open
Abstract
Objectives
To describe a medication reconciliation (MR) procedure prepared by the pharmacist for patients admitted for elective surgery and to assess the surgeon's degree of acceptance.
Methods
A 1-year retrospective observational study was conducted. The patient population consisted of patients aged ≥18 years admitted during 2016 for elective surgery and whose planned length of hospital stay was >24 hours. A pharmacist performed MR following a specific protocol. A review of the reconciliations prescribed later by the surgeons was conducted. Statistical analyses were performed for qualitative and quantitative variables.
Results
The pharmacist prepared a total of 1986 reconciliation reports. The 179 patients reviewed in this study had a mean age of 65.7±11.8 years, 49.2% were women and 98.9% of patients were reconciled by the surgeon in the operating theatre using an electronic prescribing system (85.5% were fully reconciled).
Conclusion
The hospital's MR protocol resulted in almost 100% of patients being reconciled within the subgroup of elective surgery patients by the prescribing surgeons.
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