+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records



Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records



Journal of the American Medical Informatics Association 21(3): 391-398



Errors in community medication histories increase the risk of adverse events. The objectives of this study were to estimate the extent to which access to community-based pharmacy records provided more information about prescription drug use than conventional medication histories. A prospective cohort of patients with public drug insurance who visited the emergency departments (ED) in two teaching hospitals in Montreal, Quebec was recruited. Drug lists recorded in the patients' ED charts were compared with pharmacy records of dispensed medications retrieved from the public drug insurer. Patient and drug-related predictors of discrepancies were estimated using general estimating equation multivariate logistic regression. 613 patients participated in the study (mean age 63.1 years, 59.2% women). Pharmacy records identified 41.5% more prescribed medications than were noted in the ED chart. Concordance was highest for anticoagulants, cardiovascular drugs and diuretics. Omissions in the ED chart were more common for drugs that may be taken episodically. Patients with more than 12 medications (OR 2.92, 95% CI 1.71 to 4.97) and more than one pharmacy (OR 3.85, 95% CI 1.80 to 6.59) were more likely to have omissions in the ED chart. The development of health information exchanges could improve the efficiency and accuracy of information about community medication histories if they enable automated access to dispensed medication records from community pharmacies, particularly for the most vulnerable populations with multiple morbidities. Pharmacy records identified a substantial number of medications that were not in the ED chart. There is potential for greater safety and efficiency with automated access to pharmacy records.

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

Accession: 053038728

Download citation: RISBibTeXText

PMID: 23956015

DOI: 10.1136/amiajnl-2013-001704


Related references

Influence of pharmacy practice on community pharmacists' integration of medication and lab value information from electronic health records. Journal of the American Pharmacists Association 51(5): 591-598, 2011

Comparison of electronic pharmacy prescription records with manually collected medication histories in an emergency department. Annals of Emergency Medicine 62(3): 205-211, 2013

Quality of medication records and use of pharmacy resources in community residential care facilities. Annals of PharmacoTherapy 40(5): 894-899, 2006

Access to Medical Records' Impact on Community Pharmacist-Delivered Medication Therapy Management: A Pilot From the Medication Safety Research Network of Indiana (Rx-SafeNet). Journal of Pharmacy Practice 2017: 897190017735422, 2017

Review of computerised patient medication records to determine potential clinical interventions in community pharmacy. International Journal of Pharmacy Practice 4(3): 162-167, 1996

Use of patient medication records pmrs and patients interviews to assess chronic disease status in the community pharmacy setting. Pharmacotherapy 11(3): 283, 1991

Medication records in the emergency department: agreement between paper-based charts and automated dispensing device. Canadian Journal of Hospital Pharmacy 65(4): 265-271, 2012

Patterns of triptans use: a study based on the records of a community pharmaceutical department. Cephalalgia 27(9): 1000-1004, 2007

Association of Health Care Information and Medical Records Officers. Access to health records--Guideline No. 3. Administration relating to the implementation of the Access to Health Records Act 1990. Ihrim 35(4): Suppl 1-6, 1994

Using an Internet-based registry to link school immunization records with community records. Journal of School Health 73(5): 201-202, 2003

Longitudinal prescribing patterns for psychoactive medications in community-based individuals with developmental disabilities: utilization of pharmacy records. Journal of Intellectual Disability Research 48(Pt 6): 563-571, 2004

Accuracy of medication information sources compared to the best possible medication history for patients presenting to the emergency department. Emergency Medicine Australasia 30(5): 654-661, 2018

Discrepancies between medication records of anticoagulation clinics and pharmacy records. Pharmacoepidemiology and Drug Safety 15(11): 823-828, 2006

The effects of a community-based partnership, Project Access Dallas (PAD), on emergency department utilization and costs among the uninsured. Journal of Public Health 34(4): 577-583, 2013

Buprenorphine/naloxone induction in a Canadian emergency department with rapid access to community-based addictions providers. Cjem 2019: 1-7, 2019