A survey on patients medication reconciliation process in an oncological hospital

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Gorreja, Frida,1990-Region Örebro län,Hospital Pharmacy, Veneto Institute of Oncology - IRCCS, Padua, Italy,Nutrition Gut Brain Interactions (author)

A survey on patients medication reconciliation process in an oncological hospital

Article/chapterEnglish2017

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Rome, Italy :Il Pensiero Scientifico Editore,2017
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LIBRIS-ID:oai:DiVA.org:oru-65206
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-65206URI
https://doi.org/10.1701/2656.27237DOI

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Language:English
Summary in:English

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Subject category:vet swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Note: The name of "IRCCS" or technically “Istituto di Ricovero e Cura a Carattere Scientifico” indicates biomedical institutions of relevant national interest, which drive clinical assistance in strong relation to research activities.
Objectives. The purpose of this study was to assess the impact of medication reconciliation in the clinical practice from a hospital pharmacist point of view.Methods. A survey of the medication taken by cancer patients was performed on admission and on discharge in an Oncological hospital, and then the subjects were followed up until discharge for 8 weeks. The pharmacist entered the data collected into a computer based tool which, by using Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions (STOPP criteria) and Micromedex™ interactions database, automatically produces a report indicating the possible inconsistencies. The report is to check all potentially inappropriate prescriptions (PIPs) correlated to the drugs assumption by the patient. The appropriateness of the medication was scored using a Medication Appropriateness Index (MAI index) which was used to reconcile the medication list accordingly.Results. Patients reconciled at admission were 98, while patients reconciled at discharge were 90, 8 patients dropped out due to death. After the intervention of the hospital pharmacist, the average value of MAI index showed a significant reduction (3,391 to 2,552 p=0.039) and the median number of drugs prescribed per patient was decreased (7 vs 6; p=0.8058).Conclusion. Our study demonstrated that the forms used in the reconciliation process, in particular the record card, is a promising method to increase the quality of the information related to drug use in clinical decisions. We think that medication reconciliation softwares should be widely used by health care professionals involved in the recording of drug history or prescription process.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Farmakologi och toxikologi hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Pharmacology and Toxicology hsv//eng
Drug interactions
Medication Appropriateness Index
medication reconciliation
oncology
patients safety
potentially inappropriate prescriptions
Pharmaceutical Pharmacology
Farmaceutisk farmakologi

Added entries (persons, corporate bodies, meetings, titles ...)

Damuzzo, VeraHospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy; School of Hospital Pharmacy, University of Padua, Padua, Italy (author)
Gallo, UmbertoPharmaceutical Department, Local Health Unit n. 6 Euganea, Padua, Italy (author)
Russi, AlbertoHospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy (author)
Lo Re, FrancescoHospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy (author)
Ciampalini, SusannaMinistry of Health, Rome, Italy (author)
Guidotti, LuciaMinistry of Health, Rome, Italy (author)
Serena, MartaSchool of Hospital Pharmacy, University of Padua, Padua, Italy (author)
Palozzo, ClaudioHospital Pharmacy, Veneto Institute of Oncology IRCCS, Padua, Italy (author)
Region Örebro länHospital Pharmacy, Veneto Institute of Oncology - IRCCS, Padua, Italy (creator_code:org_t)

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In:Recenti Progressi in MedicinaRome, Italy : Il Pensiero Scientifico Editore108:3, s. 141-1480034-1193

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By the author/editor: Gorreja, Frida, ...; Damuzzo, Vera; Gallo, Umberto; Russi, Alberto; Lo Re, Francesco; Ciampalini, Susa ...; show more...; Guidotti, Lucia; Serena, Marta; Palozzo, Claudio; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Basic Medicine; and Pharmacology and ...

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By the university: Örebro University

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