التسويات الدوائية للمرضى المدخلين للاقسام الجراحية: دراسة في مستشفى اريحا
Date
2018-03-18
Authors
محمد ابراهيم 'محمد رشيد' عتيلي
Mohammed Ibrahim 'Moh. Rasheed' Attili
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
Background: Adverse Drug Events (ADEs) at care transition expose patients to susceptible
harm. Lack of medication reconciliation is a major factor leading to ADEs. It is highly
important to apply medication reconciliation at care transitions to minimize medication
discrepancies and reduce medication errors. Some patients are at higher risk due to
medication errors: those with chronic diseases and poly-pharmacy, elder patients, those with
other co-morbid factors and patients who are admitted to certain surgical procedure.
Aim:The study aims to assess prevalence and factors associated with medication
discrepancies at admission to surgical operation in hospitals using the Electronic Medical
Record (EMR) system and to analyze the factors associated with medication discrepancies.
Method: A prospective cross-sectional observational design was employed. The study was
done in Jericho Governmental Hospital. The inclusion criteria was all patients who were
aged ≥18 years old, who were admitted for any surgical operation in the hospital at least for
24 hours and underwent major surgery. Data were collected in the period between the
middle of July to the end of September, 2016, over a period of 75 days. All patients who
were admitted to surgical operation and met the criteria were included.
Findings: A total of 145 patients who satisfy the criteria were included, 19.3% of them hadat least one medication discrepancy, 93% of these discrepancies were unintentional.
Moreover, 93% of the discrepancies were omission of certain medication at time of
admission, 20.7% of discrepancies occurred in patients taking 1-2 medications prior to
admission and 7.6% in patients taking 3 or more medications. Logistic regression showed
significant association between medication discrepancy and having a chronic disease(Exp(B) = 12.910, P <0.001), and with the number of medication consumed prior to
admission (Exp (B) = 23.953, P <0.001).
Conclusion:
The risk of medication discrepancy was higher in patients with chronic disease and polypharmacy.
The most frequent medication discrepancy was omission of certain medication
consumed prior to admission. Therefore, medication reconciliation should be carried out for
susceptible patients who have chronic diseases or consuming medication regularly at time of
admission. Moreover, medication discrepancies may occur at any care transition other than
admission, so it is highly important to perform medication reconciliation at any care
transition.
Description
Keywords
السياسات والاداره الصحية , Policies & Health Management