Läkemedelsavstämning på akutmottagningen för vuxenpsykiatri samt psykiatriska akutvårdsavdelningen vid Akademiska sjukhuset i Uppsala
Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Introduction: An accurate medication list is essential for the evaluation and continuing treatment of the patient. The accurate medication list is retrieved by performing a medication reconciliation, which has been shown to result in fewer adverse drug events and thus represents a way to improve patient safety. Aim: The aim of this study was to investigate the frequency, type and clinical relevance of medication discrepancies in patients’ electronic medications lists, and to investigate to which extent these discrepancies are corrected. Materials and Methods: A prospective, descriptive study was undertaken at the psychiatric emergency department and the acute psychiatric ward at Uppsala University Hospital. A pharmacy student identified each patient’s current medication list by conducting a medication reconciliation, and then compared it to the patient’s medication list in the hospital medical records. Omission or commission of a drug, or changes to the dose in the hospital medication list was considered medication discrepancies. Results: The study population comprised 131 adult patients. Of these, 80.9% had at least one discrepancy in their medication list. A total of 440 discrepancies were detected and 21.6% of these were judged to be clinically relevant. Of all clinically relevant discrepancies, a far majority comprised of psychotropic drugs. The most common type of discrepancy was commission of a drug. Half of all discrepancies submitted to the physician were corrected. Conclusion: Discrepancies in patient’s medication lists at the psychiatric emergency department and the acute psychiatric ward att Uppsala University Hospital, are common. Forty percent of the population were judged to have at least one clinically relevant discrepancy. The value of medication reconciliation is thus of great importance and should be implemented as a standardized procedure at admission in all hospitals.
Place, publisher, year, edition, pages
2014. , 47 p.
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:uu:diva-218647OAI: oai:DiVA.org:uu-218647DiVA: diva2:696405
Subject / course
Master of Science Programme in Pharmacy
Balgård, Matts, Leg. Apotekare
Hammarlund-Udenaes, Margareta, Prof.