Medication reconciliation on discharge in a tertiary care Riyadh Hospital: An observational study

The purpose of this study was to assess the frequency and characteristics of discharge medication discrepancies as identified by pharmacists during discharge medication reconciliation. We also attempted to identify the factors that influence the occurrence of drug discrepancies during medication rec...

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Published in:PloS one 2022-03, Vol.17 (3), p.e0265042-e0265042
Main Authors: Alanazi, Ahmed S, Awwad, Sameh, Khan, Tahir M, Asdaq, Syed Mohammed Basheeruddin, Mohzari, Yahya, Alanazi, Foz, Alrashed, Ahmed, Alamri, Abdulhakeem S, Alsanie, Walaa F, Alhomrani, Majid, AlMotairi, Mohammed
Format: Article
Language:English
Subjects:
Adult
Animal sciences
Drug administration
Drug dosages
Drug stores
Drugs
Emergency medical care
Ethics
Evaluation
Female
Health care
Health risks
Heart
Hospitals
Humans
Male
Medical errors
Medical laboratories
Medication Reconciliation
Medicine and Health Sciences
Observational studies
Patient Admission
Patient compliance
Patient Discharge
Patient safety
Patients
Pediatrics
People and Places
Pharmaceutical sciences
Pharmacists
Prospective Studies
Reconciliation
Research and Analysis Methods
Tertiary
Tertiary Healthcare
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cited_by cdi_FETCH-LOGICAL-c6072-f8a12d0821edffbd2ac1bcbf8f37b51f6de3e34cba2d4aacf9340299794622483
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creator Alanazi, Ahmed S
Awwad, Sameh
Khan, Tahir M
Asdaq, Syed Mohammed Basheeruddin
Mohzari, Yahya
Alanazi, Foz
Alrashed, Ahmed
Alamri, Abdulhakeem S
Alsanie, Walaa F
Alhomrani, Majid
AlMotairi, Mohammed
description The purpose of this study was to assess the frequency and characteristics of discharge medication discrepancies as identified by pharmacists during discharge medication reconciliation. We also attempted to identify the factors that influence the occurrence of drug discrepancies during medication reconciliation. From June to December 2019, a prospective study was performed at the cardiac center of King Fahad Medical City (KFMC), a tertiary care hospital in Riyadh. The information from discharge prescriptions as compared to the medication administration record (MAR), medication history in the cortex system, and the patient home medication list collected from the medication reconciliation form on admission. The study included all adult patients discharged from KFMC's cardiac center. These participants comprised 776 patients, 64.6 percent of whom were men and 35.4 percent of whom were women. Medication discrepancies were encountered in 180 patients (23.2%) out of 776 patients. In regards to the number of discharged medications, 651(83.9%) patients had ≥ 5 medications. Around, 174 (73.4%) discrepancies were intentional, and 63 (26.6%) were unintentional discrepancies. The risk of unintentional medication discrepancy was increased with an increasing number of medications (P-value = 0.008). One out of every four cardiac patients discharged from our hospital had at least one medication discrepancy. The number of drugs taken and the number of discrepancies was found to be related. Necessary steps should be taken to reduce these discrepancies and improve the standard of care.
doi_str_mv 10.1371/journal.pone.0265042
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1932-6203
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source PubMed Central Free; Publicly Available Content Database
subjects Adult
Animal sciences
Drug administration
Drug dosages
Drug stores
Drugs
Emergency medical care
Ethics
Evaluation
Female
Health care
Health risks
Heart
Hospitals
Humans
Male
Medical errors
Medical laboratories
Medication Reconciliation
Medicine and Health Sciences
Observational studies
Patient Admission
Patient compliance
Patient Discharge
Patient safety
Patients
Pediatrics
People and Places
Pharmaceutical sciences
Pharmacists
Prospective Studies
Reconciliation
Research and Analysis Methods
Tertiary
Tertiary Healthcare
title Medication reconciliation on discharge in a tertiary care Riyadh Hospital: An observational study
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