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Electronic Medication Record Accuracy in Haemodialysis Outpatient Settings

G England1, D Davin1, P Lavin2

  • 1Pharmacy Department, Tallaght University Hospital, Dublin, Ireland.

Irish Medical Journal
|June 13, 2022
PubMed

Insights

The Kidney Disease Clinical Patient Management System (KDCPMS) in Irish haemodialysis units contains medication discrepancies. This highlights the need for improved data accuracy and pharmaceutical care for renal patients.

Area of Science:

  • Nephrology
  • Clinical Pharmacy
  • Health Informatics

Background:

  • Irish haemodialysis (HD) units utilize the electronic Kidney Disease Clinical Patient Management System (KDCPMS).
  • KDCPMS is not consistently used as the primary electronic patient record.
  • The accuracy of KDCPMS information has not been previously assessed in this setting.

Purpose of the Study:

  • To identify, characterize, and quantify medication discrepancies within KDCPMS records of HD outpatients.
  • To evaluate the accuracy of the KDCPMS for medication management in haemodialysis patients.

Main Methods:

  • A prospective, observational study was conducted on a hospital HD unit.
  • Medication reconciliation and review were performed to identify KDCPMS discrepancies and Drug Related Problems (DRPs).
  • Clinical pharmacists provided recommendations to resolve identified DRPs.

Main Results:

  • All examined KDCPMS records (n=36) exhibited intentional and unintentional medication discrepancies.
  • An average of 8.8 unintentional discrepancies per patient was observed.
  • 143 DRPs were identified in 34 patients (94.4%), with 65% of pharmacist recommendations being accepted.

Conclusions:

  • The KDCPMS contains inaccuracies that could lead to systemic errors in patient care.
  • Enhanced clinical governance and national policy are needed to establish KDCPMS as the primary renal patient record.
  • Specialist clinical pharmacist support within national chronic disease management models is crucial for improving patient outcomes.

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