Article Text

Download PDFPDF

5PSQ-158 Interest in medication reconciliation and establishment of a prioritisation score in a vascular surgery department
  1. E Snobbert,
  2. A Etangsale,
  3. C Balouzet,
  4. A Sapin,
  5. S Pargade,
  6. B Kadri,
  7. S Camps
  1. Institut Mutualiste Montsouris, Pharmacy, Paris, France


Background Patients in the vascular surgery department (VSD) are under several medications, with a high risk of medication error. Medication reconciliation (MR) could help to prevent the risk of a drug iatrogenic issue. Checking the whole admission prescriptions is difficult for pharmacists because of high turnover in the surgery department. Patients with a high-risk error in admission prescription had to be identified.

Purpose The aim of this study was to evaluate the interest of MR in a VSD and to identify a prioritisation score to target patients who should benefit from MR.

Material and methods This study was conducted between February and September 2018. Several sources were collected to identify a list of patients’ current medications, by one pharmacist. Comparing this list with hospital prescriptions allowed the identification of divergences. Three classes of divergences were identified: intentional with notification, intentional without notification and unintentional (UD). For each patient included, a prioritisation score was calculated based on age, number of drugs, comorbidities and different therapeutic class prescribed. A threshold of this score was searched to target the patients with high risk of UD. A Chi2 test was used to find an association between the score and the presence of UD.

Results During this period, 2720 patients were hospitalised in the VSD, with a mean number of patients admitted per day of 12 (min=1; max=22). Among these patients, 233 patients (9%) benefited from MR. Among these patients, 34% had at least one UD. For these patients, the mean number of medications on admission was nine. Among the 145 UD identified, the main reason for UD was omission (30%) and the most frequent medication was antihypertensive (10%). The median prioritisation score of patients with UD and without UD were, respectively, 11 and 9. There was a significant association between the score ≥11 and UD presence (p<0.01).

Conclusion MR could identify UD in 34% of patients included. A threshold score has been identified. Currently, MR has been performed to VSD, mainly to patients with score ≥11. For a better optimisation of MR time, it will be interesting to include other characteristics, such as the number of patients admitted per day.

References and/or acknowledgements Vascular surgery department staff.

No conflict of interest.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.