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Ir J Med Sci. 2008 Jun;177(2):93-7. doi: 10.1007/s11845-008-0142-2. Epub 2008 Apr 15.

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

Author information

1
School of Pharmacy, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland. tgrimes@rcsi.ie

Abstract

BACKGROUND:

Medication discrepancies at the time of hospital discharge are common and can result in error, patient/carer inconvenience or patient harm. Providing accurate medication information to the next care provider is necessary to prevent adverse events.

AIMS:

To investigate the quality and consistency of medication details generated for such transfer from an Irish teaching hospital.

METHODS:

This was an observational study of 139 cardiology patients admitted over a 3 month period during which a pharmacist prospectively recorded details of medication inconsistencies.

RESULTS:

A discrepancy in medication documentation at discharge occurred in 10.8% of medication orders, affecting 65.5% of patients. While patient harm was assessed, it was only felt necessary to contact three (2%) patients. The most common inconsistency was drug omission (20.9%).

CONCLUSIONS:

Inaccuracy of medication information at hospital discharge is common and compromises quality of care.

PMID:
18414970
DOI:
10.1007/s11845-008-0142-2
[Indexed for MEDLINE]

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