5PSQ-159 Key points in improving the reconciliation process in an emergency department

• Published in: European journal of hospital pharmacy. Science and practice 2019-03, Vol.26 (Suppl 1), p.A275-A275
• Main Authors: Tamayo Bermejo, R, Del Río Valencia, JC, Conesa Muñoz, M, Muñoz Castillo, MI
• Format: Article
• Language: English
• Subjects: Drug stores; Patients; Pharmacists
• ISSN: 2047-9956; 2047-9964
• DOI: 10.1136/ejhpharm-2019-eahpconf.592

BackgroundMedication errors commonly occur at transition points in patient care, particularly on admission to hospital.Medicines reconciliation is the process of identifying the most accurate list of a patient’s current medicines and it should be done before the first 24 hour after admission.The participation of pharmacists in obtaining an accurate medication history for hospitalised patients is a key point in improving the process of reconciliation.PurposeEvaluate the benefits of the introduction of a pharmacist into the Emergency Department (ED) to improve the reconciliation process.Material and methodsA prospective intervention study (2016–2017). The medication was reconciled at two different times and places: in admission to the geriatric ward (2016) and the admission to the ED (2017).Patients older than 65 years and six or more drugs admitted to the ward were included. A target was set that ideally 100% of patients admitted would have their medications reconciled within 24 hour of admission.To calculate the percentage of patients reconciled within 24 hour, the total number of patients who met the inclusion criteria for conciliation were collected. We did not collect data on Saturdays or Sundays. For the inferential statistics, the Chi-square test was used.ResultsA total of 394 patients was reconciled, 106 patients in the ward for the first time and 288 patients in the ED for a second time.The percentage of patients with their medicines reconciled by a pharmacist within 24 hour of admission increased from 38% in the ward to 83% in the ED, and was significant (p