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Enkla läkemedelsgenomgångar utförda av farmaceuter på medicinska akutmottagningen, Danderyds sjukhus.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Abstract

Title: Medication reviews made by pharmacists at the emergency department, Danderyd.

Author: Segerborg A.

Institute: Uppsala University, Uppsala, Sweden

Background and objective: Incorrect medication records are common at emergent hospital admissions. The aim of this study was to evaluate the frequency and type of discrepancies in the electronic medication records at an emergency department (ED). The secondary aim was to investigate whether there were differences in the numbers of discrepancies regarding age, number of drugs, reasons for visiting the ED and use of a medication dispensing system.

Design: Two pharmacists performed medication reviews daytime at the ED during April 4th- May 4th. The numbers of discrepancies were recorded for each patient and categorized into four groups: Wrong dose, Omitted drug, Drug not currently in use and Duplicate Therapy. The differences of discrepancies regarding gender and dose dispensing system were analyzed with t-tests. The differences of discrepancies regarding different groups of age, number of drugs and reasons for visiting the ED were analyzed with ANOVA-tests.SettingThe ED at Danderyd Hospital, Sweden.

Main outcome measures: The number of medication lists with at least one discrepancy. The mean values of discrepancies among all patients and in different groups of patients. Differences in numbers of discrepancies regarding patient related factors.

Results: There were 522 discrepancies identified among 175 (87 %) patients. 356 (68 %) of the discrepancies concerned drugs with regular dosage. The mean value of discrepancies per patient was 2.6 (SD ±2.2). The most common type of discrepancy was represented by the category Drug not currently in use. There was a significant correlation between the number of discrepancies and the numbers of drugs. There were no significant differences between the number of discrepancies regarding age, dose dispensing system and reasons for visiting the ED.

Conclusions: 87 % of the medication records were incorrect and the majority of the discrepancies concerned drugs with regular dosage. The results show that there is a need for medicine reviews for all patients at the ED.

Place, publisher, year, edition, pages
2016.
Keyword [sv]
läkemedelsgenomgångar, akutmottagning, Stockholm, farmaceuter
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:uu:diva-301916OAI: oai:DiVA.org:uu-301916DiVA: diva2:955618
External cooperation
Danderyds sjukhus
Educational program
Master Programme in Clinical Pharmacy
Supervisors
Examiners
Available from: 2016-08-26 Created: 2016-08-25 Last updated: 2016-08-26Bibliographically approved

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