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The Electronic Pharmaceutical Record: A new method for medication reconciliation.

Camille Jurado¹, Violaine Calmels¹, Emilie Lobinet²

¹Department of Pharmacy, Hôpital Rangueil, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.

Journal of Evaluation in Clinical Practice

|May 16, 2018

Summary

The Electronic Pharmaceutical Record (ePR) aids hospital admission medication reconciliation (MedRec) by identifying regular medications, adherence, and self-medication. This tool is crucial for accurate patient medication lists.

Keywords:

clinical impact continuity of care health information technology medication error medication reconciliation patient safety

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Area of Science:

Health Informatics
Clinical Pharmacy
Patient Safety

Background:

Accurate medication lists are vital for hospital admission medication reconciliation (MedRec).
Challenges in MedRec include data availability, reliability, and completeness.
The French Electronic Pharmaceutical Record (ePR) was developed for ambulatory patient medication safety.

Purpose of the Study:

To evaluate the suitability of the ePR as a tool for hospital admission MedRec.
To assess the clinical impact (CI) of data collected by the ePR during MedRec.

Main Methods:

A 6-month pilot study involving 249 MedRec files from a hospital diabetology department.
Supplementation of analysis with ePR data for relevant patients.
Evaluation of the ePR as a MedRec tool and its clinical impact.

Main Results:

The ePR contributed data for 28% of patients.
Discrepancies, often linked to polypharmacy, were identified.
Most frequent discrepancies included medication omission (72%), self-medication (8%), and non-adherence (9%).

Conclusions:

The ePR offers added value in MedRec by identifying regular medications, adherence, and self-medication.
The ePR is essential for comprehensive medication reconciliation.
Implementing the ePR can enhance patient safety during hospital admissions.