+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Completeness of patient records in community pharmacies post-discharge after in-patient medication reconciliation: a before-after study

Completeness of patient records in community pharmacies post-discharge after in-patient medication reconciliation: a before-after study

International Journal of Clinical Pharmacy 36(4): 807-814

Transfer of discharge medication related information to community pharmacies could improve continuity of care. This requires for community pharmacies to accurately update their patient records when new information is transferred. An instruction manual that specifies how to document information regarding medication changes and clinical information (i.e. allergies/contraindications) could support community pharmacies. To explore the effect of instruction manuals sent to community pharmacies on completeness of their patient records. A before-after study was performed (July 2009-August 2010) in the St Lucas Andreas Hospital, a general teaching hospital in Amsterdam, The Netherlands. Patients discharged from the cardiology and respiratory ward were included consecutively. The intervention consisted of a training session for community pharmacies regarding documentation problems and faxing an instruction manual to community pharmacies specifying how to document discharge information in their information system. Usual care consisted of faxing a discharge medication overview to community pharmacies without additional instructions. Two weeks after discharge the medication records of community pharmacies were collected by fax. These were compared with the initial discharge overviews regarding completeness of medication changes (i.e. explicit explanation that medication had been changed) and clinical information documentation. MAIN OUTCOME MEASURE OUTCOMES: were the number and percentage of completely documented medication changes (either needing to be dispensed or not) and clinical information items. The sample size was calculated at 107 patients per measurement period. Multivariable logistic regression was used for analysis. Two hundred and eighteen patients (112 before-106 after) were included. Completeness of medication changes documentation increased marginally after the intervention (46.6 vs 56.3 %, adjusted Odds Ratio 1.4 [95 % confidence interval 1.07-1.83]). Documentation increased when medication was actually dispensed by the community pharmacy. No significant improvements were seen for allergy and contraindication documentation. The intervention is insufficient to increase the completeness of documentation by community pharmacies as marginal improvements were achieved. Future studies should evaluate whether electronic infrastructures may help in achieving updated medication records to improve continuity of pharmaceutical care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052260961

Download citation: RISBibTeXText

PMID: 25027255

DOI: 10.1007/s11096-014-9965-2

Related references

Prevalence and usage of printed and electronic drug references and patient medication records in community pharmacies in Malaysia. Journal of Pharmacy Practice 25(3): 374-380, 2012

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Journal of General Internal Medicine 27(11): 1513-1520, 2012

Engaging patients in medication reconciliation via a patient portal following hospital discharge. Journal of the American Medical Informatics Association 21(E1): E157-E162, 2014

Improving transplant patient safety through pharmacist discharge medication reconciliation. American Journal of Transplantation 13(3): 796-801, 2013

Impact of medication reconciliation at discharge on continuity of patient care in France. International Journal of Clinical Pharmacy 38(5): 1149-1156, 2016

The EPIFARM study: an observational study in 574 community pharmacies in Spain characterizing patient profiles of men asking for erectile dysfunction medication. Journal of Sexual Medicine 7(9): 3153-3160, 2010

Evaluation of Pharmacist-Initiated Discharge Medication Reconciliation and Patient Counseling Procedures. Consultant Pharmacist 33(4): 222-226, 2018

Medication reconciliation at hospital discharge focusing on patient with hypertension: Analysis of the output prescription. Annales de Cardiologie et d'Angeiologie 65(3): 229-235, 2016

The (cost-)effectiveness of a patient-tailored intervention programme to enhance adherence to antihypertensive medication in community pharmacies: study protocol of a randomised controlled trial. Trials 18(1): 29, 2017

Characterisation of patient encounters in community pharmacies (with special focus on self-medication). International Journal of Pharmacy Practice 23(3): 228-231, 2015

Completeness of medication-related information in discharge letters and post-discharge general practitioner overviews. International Journal of Clinical Pharmacy 37(6): 1206-1212, 2015

The need for creating a patient medication record system and characteristics of its application in community pharmacies. Medicina 41(7): 603-606, 2005

Pediatric medication use experiences and patient counseling in community pharmacies: Perspectives of children and parents. Journal of the American Pharmacists Association 57(1): 38-46.E2, 2016

Patient-reported communications with pharmacy staff at community pharmacies: the Alabama NSAID Patient Safety Study, 2005-2007. Journal of the American Pharmacists Association 49(5): E110-E117, 2010

Documentation quality in community pharmacy: completeness of electronic patient records after patients' first visits. Annals of PharmacoTherapy 43(11): 1787-1794, 2009