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Medication reconciliation on discharge in a tertiary care Riyadh Hospital: An observational study.
Ahmed S Alanazi1, Sameh Awwad2, Tahir M Khan2
1Pharmaceutical Service Department, Main Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Plos One
|March 15, 2022
Summary
Discharge medication reconciliation identified discrepancies in 23.2% of cardiac patients. More medications increased the risk of unintentional drug errors, highlighting the need for improved care standards.
Area of Science:
- Pharmacology
- Patient Safety
- Healthcare Quality
Background:
- Medication discrepancies are common during hospital discharge.
- Accurate medication reconciliation is crucial for patient safety.
- Cardiac patients often have complex medication regimens.
Purpose of the Study:
- To determine the frequency and characteristics of discharge medication discrepancies.
- To identify factors influencing drug discrepancies during reconciliation.
- To improve medication safety in cardiac patients.
Main Methods:
- Prospective study at King Fahad Medical City's cardiac center (June-December 2019).
- Compared discharge prescriptions with MAR, EHR, and admission medication lists.
- Included 776 adult cardiac patients.
Main Results:
- 180 patients (23.2%) had medication discrepancies.
- Most discrepancies (73.4%) were intentional.
- Increased number of medications correlated with higher risk of unintentional discrepancies (P=0.008).
Conclusions:
- One in four cardiac patients experienced at least one medication discrepancy upon discharge.
- The number of medications is linked to the number of discrepancies.
- Interventions are needed to reduce discrepancies and enhance patient care quality.
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