RT Journal Article
SR Electronic
T1 An admission medication reconciliation programme carried out by pharmacists: impact on surgeons' prescriptions
JF European Journal of Hospital Pharmacy
JO Eur J Hosp Pharm
FD British Medical Journal Publishing Group
SP ejhpharm-2017-001392
DO 10.1136/ejhpharm-2017-001392
A1 José Javier Arenas-Villafranca
A1 Manuela Moreno-Santamaría
A1 Carmen López Gómez
A1 Isabel Muñoz Gómez-Millán
A1 Elena Álvaro Sanz
A1 Begoña Tortajada-Goitia
YR 2018
UL http://ejhp.bmj.com/content/early/2018/01/11/ejhpharm-2017-001392.abstract
AB Objectives To describe a medication reconciliation (MR) procedure prepared by the pharmacist for patients admitted for elective surgery and to assess the surgeon’s degree of acceptance.Methods A 1-year retrospective observational study was conducted. The patient population consisted of patients aged ≥18 years admitted during 2016 for elective surgery and whose planned length of hospital stay was >24 hours. A pharmacist performed MR following a specific protocol. A review of the reconciliations prescribed later by the surgeons was conducted. Statistical analyses were performed for qualitative and quantitative variables.Results The pharmacist prepared a total of 1986 reconciliation reports. The 179 patients reviewed in this study had a mean age of 65.7±11.8 years, 49.2% were women and 98.9% of patients were reconciled by the surgeon in the operating theatre using an electronic prescribing system (85.5% were fully reconciled).Conclusion The hospital’s MR protocol resulted in almost 100% of patients being reconciled within the subgroup of elective surgery patients by the prescribing surgeons.