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Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department


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Abstract
Medication errors have a significant impact on patient outcomes, increase healthcare costs,and are a common cause of preventable morbidity. This single-site, observational, diagnosticaccuracy study aimed to quantify medication discrepancies in transition of care from primary careto the emergency department (ED) over a 12-month period. Medication lists in General Practitioner(GP) referrals to a regional ED were examined against a Best Possible Medication History (BPMH)performed by a hospital pharmacist. One hundred and forty-three patients (25%) with computergenerated GP referrals to ED who were subsequently admitted to hospital had a BPMH taken; 135(94%) of these had at least one medication discrepancy identified with a discrepancy rate of 67.18discrepancies per 100 medications. Improving medication reconciliation in the community mayreduce the burden associated with preventable medication errors. Whether this is achieved by morefrequent GP-led medication review or community-based pharmacist medication review maydepend on the community and available resources.
Item Type: | Article |
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Authors/Creators: | Prior, SJ and Cheek, CG and Cheah, D and Etherington, C and Williams, A and Reeves, NS |
Keywords: | medication, general practice, discrepancy, pharmacist; risk, referral, best practice medication history |
Journal or Publication Title: | Healthcare |
Publisher: | M D P I AG |
ISSN: | 2227-9032 |
DOI / ID Number: | https://doi.org/10.3390/healthcare7040152 |
Copyright Information: | Copyright 2019 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ |
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