Lowest discrepancy rates experienced by patients who received best possible medication history in emergency department and discharge medication reconciliation<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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FRIDAY, March 31, 2023 (HealthDay News) — System- and patient-level interventions, including taking a best possible medication history (BPMH) in the emergency department, can reduce medication discrepancy rates, according to a study published online March 22 in BMJ Quality & Safety<\/em>.<\/p>\n Jeffrey L. Schnipper, M.D., M.P.H., from Brigham and Women’s Hospital in Boston, and colleagues conducted a study involving 4,947 patients at 17 North American hospitals that participated in the second Multicenter Medication Reconciliation Quality Improvement Study. The association of each system- and patient-level intervention on the adjusted number of medication discrepancies per patient in admission and discharge orders was analyzed.<\/p>\n The researchers found that patient exposure to seven of the eight system-level component categories was associated with modest but significant reductions in discrepancy rates (adjusted rate ratios [ARRs], 0.75 to 0.97), as were 15 of 17 individual system-level intervention components, including hiring, reallocating, and training personnel to take a BPMH and training personnel to perform discharge medication reconciliation. Independent associations were seen for receipt of five of seven patient-level interventions with large reductions in discrepancy rates, including receipt of a BPMH in the emergency department by a trained clinician and admission and discharge medication reconciliation (ARRs, 0.40, 0.57, and 0.64, respectively). The lowest discrepancy rates were experienced by patients who received both a BPMH in the emergency department and discharge medication reconciliation by a trained clinician (ARR, 0.08 per medication per patient).<\/p>\n “These findings provide specific guidance that hospitals and health systems can use to improve medication safety and protect patients from discrepancies,” Schnipper said in a statement.<\/p>\n One author disclosed financial ties to Synapse Medicine.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n