Background Medication reconciliation (MR) was implemented in a psychiatric unit in January 2016. A test phase of 3 months was conducted by following the Med’Rec1 study indicators. Standard criteria (all incoming patients were eligible for the study) were found unsuitable in psychiatric patients. Selection criteria were determined in order to target the high risk population. A second phase was implemented to assess if the chosen criteria allowed reconciliation of patients at a high risk of medication errors.
Purpose Are the chosen criteria for the selection of patients relevant for MR?
Material and methods The study was conducted in the same unit until reaching the same number of reconciled patients (RP) than the test phase. The retained criteria for inclusion (or/and) were:
Patients with at least 1 somatic medicine on admission prescription orders.
Patients >65 years.
New unknown patients.
Patients admitted to hospital for 6 months or more.
The selected indicators were those of the test phase.1 The results were compared statistically (χ2 test). Discrepancies (D) corresponded to medication errors (addition, omission, etc). D were found between the list of all medications patients were taking daily and admission prescriptions orders.
Results Results were preliminary, with 44 RP (average age 45.3 years) for phase II compared with 67 RP (average age 44.9 years) for the test phase.
Conclusion At this stage of the study, the retained criteria seem to fit our psychiatric unit. A multicentre study could confirm that these criteria are suitable for psychiatry.
References and/or acknowledgements 1. Buiche M. Thesis: Conciliation des Traitements Médicamenteux: Expérimentation du rapport Med’Rec2015 de l’HAS dans un établissement Psychiatrique, 2016.
No conflict of interest
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