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Are medication record cards useful?

P A Atkin1, T P Finnegan, S J Ogle

  • 1Royal North Shore Hospital, Sydney, NSW.

The Medical Journal of Australia
|March 20, 1995
PubMed
Summary
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Patient medication record cards showed declining use and poor accuracy over 12 months. These cards, introduced by a third party, did not improve medication management for elderly patients.

Area of Science:

  • Geriatric Medicine
  • Pharmacovigilance
  • Health Informatics

Background:

  • Patient-held medication records are intended to improve medication safety and adherence.
  • Effective use relies on consistent patient engagement and accurate record-keeping.

Purpose of the Study:

  • To evaluate the utilization and patient/doctor acceptance of medication record cards.
  • To assess the accuracy and impact of these cards on medication management.

Main Methods:

  • A 12-month prospective study involving 187 elderly patients (mean age 78.4 years) managing multiple medications.
  • Data collected at baseline and at four-month intervals, assessing card availability, usage, and record accuracy through home medication checks.

Main Results:

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  • Card retention was high, but presentation to doctors decreased significantly from 61% to 23% over 12 months.
  • Accurate medication records were maintained by only 16-20% of patients.
  • General practitioner (GP) prescriptions were inconsistent with actual patient regimens in 75% of cases.

Conclusions:

  • Patient-held medication record cards introduced via a third party are unlikely to enhance medication use quality.
  • Interventions need to address patient engagement and the accuracy of information transfer between healthcare providers and patients.