Relative accuracy and availability of an Irish National Database of dispensed medication as a source of medication history information: observational study and retrospective record analysis.
AffiliationSchool of Pharmacy and Pharmaceutical Sciences, Trinity College, Dublin, Ireland.
MetadataShow full item record
CitationRelative accuracy and availability of an Irish National Database of dispensed medication as a source of medication history information: observational study and retrospective record analysis. 2013: J Clin Pharm Ther
JournalJournal of clinical pharmacy and therapeutics
AbstractWHAT IS KNOWN AND OBJECTIVE: The medication reconciliation process begins by identifying which medicines a patient used before presentation to hospital. This is time-consuming, labour intensive and may involve interruption of clinicians. We sought to identify the availability and accuracy of data held in a national dispensing database, relative to other sources of medication history information. METHODS: For patients admitted to two acute hospitals in Ireland, a Gold Standard Pre-Admission Medication List (GSPAML) was identified and corroborated with the patient or carer. The GSPAML was compared for accuracy and availability to PAMLs from other sources, including the Health Service Executive Primary Care Reimbursement Scheme (HSE-PCRS) dispensing database. RESULTS: Some 1111 medication were assessed for 97 patients, who were median age 74 years (range 18-92 years), median four co-morbidities (range 1-9), used median 10 medications (range 3-25) and half (52%) were male. The HSE-PCRS PAML was the most accurate source compared to lists provided by the general practitioner, community pharmacist or cited in previous hospital documentation: the list agreed for 74% of the medications the patients actually used, representing complete agreement for all medications in 17% of patients. It was equally contemporaneous to other sources, but was less reliable for male than female patients, those using increasing numbers of medications and those using one or more item that was not reimbursable by the HSE. WHAT IS NEW AND CONCLUSION: The HSE-PCRS database is a relatively accurate, available and contemporaneous source of medication history information and could support acute hospital medication reconciliation.
- Sources of pre-admission medication information: observational study of accuracy and availability.
- Authors: Fitzsimons M, Grimes T, Galvin M
- Issue date: 2011 Dec
- An exploratory comparison of medication lists at hospital admission with administrative database records.
- Authors: Warholak TL, McCulloch M, Baumgart A, Smith M, Fink W, Fritz W
- Issue date: 2009 Nov-Dec
- A study of the use of medicine lists in medicines reconciliation: please remember this, a list is just a list.
- Authors: Green CF, Burgul K, Armstrong DJ
- Issue date: 2010 Apr
- Medication reconciliation in a rural trauma population.
- Authors: Miller SL, Miller S, Balon J, Helling TS
- Issue date: 2008 Nov
- Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.
- Authors: Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH
- Issue date: 2010 Apr