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Tytuł pozycji:

Developing an Integrated Electronic Medication Reconciliation Platform and Evaluating its Effects on Preventing Potential Duplicated Medications and Reducing 30-Day Medication-Related Hospital Revisits for Inpatients.

Tytuł:
Developing an Integrated Electronic Medication Reconciliation Platform and Evaluating its Effects on Preventing Potential Duplicated Medications and Reducing 30-Day Medication-Related Hospital Revisits for Inpatients.
Autorzy:
Hung PL; Department of Pharmacy, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.; Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung City, 80708, Taiwan.
Lin PC; Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung City, 80708, Taiwan. .; Department of Medical Education and Research, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan. .
Chen JY; Department of Pharmacy, National Cheng Kung University Hospital, No.138, Sheng Li Road, Tainan, Taiwan.
Chen MT; Department of Pharmacy, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.
Chou MY; Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.; Aging and Health Research Center, National Yang-Ming University, No.155, Sec.2, Linong Street, Beitou District, Taipei City, 11221, Taiwan.
Huang WC; Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.; School of Medicine, National Yang-Ming University, No.155, Sec.2, Linong Street, Beitou District, Taipei City, 11221, Taiwan.; Department of Physical Therapy, Fooyin University, No. 151, Jinxue Road Daliao District, Kaohsiung City, 83102, Taiwan.
Juang WC; Quality Management Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.; Department of Business Management, National Sun Yat-sen University, 70 Lienhai Rd, Kaohsiung, 80424, Taiwan.
Lin YT; Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City, 81362, Taiwan.
Lin AC; Division of Pharmacy Practice and Administrative Sciences, The James L. Winkle College of Pharmacy, University of Cincinnati, 3225 Eden Avenue, Cincinnati, OH, 45267-0004, USA. .
Źródło:
Journal of medical systems [J Med Syst] 2021 Mar 01; Vol. 45 (4), pp. 47. Date of Electronic Publication: 2021 Mar 01.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
Original Publication: New York, Plenum Press.
MeSH Terms:
Continuity of Patient Care/*organization & administration
Medication Errors/*prevention & control
Medication Reconciliation/*organization & administration
Patient Care Team/*organization & administration
Pharmaceutical Preparations/*standards
Medical Order Entry Systems/organization & administration ; Medical Records Systems, Computerized/organization & administration ; Pharmacy Service, Hospital/organization & administration ; Quality Assurance, Health Care ; Retrospective Studies ; Taiwan
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Contributed Indexing:
Keywords: Admission; Computer physician order entry (CPOE); Discharge; Medication reconciliation (MR)
Substance Nomenclature:
0 (Pharmaceutical Preparations)
Entry Date(s):
Date Created: 20210301 Date Completed: 20210308 Latest Revision: 20210308
Update Code:
20240105
DOI:
10.1007/s10916-021-01717-8
PMID:
33644834
Czasopismo naukowe
The aims were to develop an integrated electronic medication reconciliation (ieMR) platform, evaluate its effects on preventing potential duplicated medications, analyze the distribution of the potential duplicated medications by the Anatomical Therapeutic and Chemical (ATC) code for all inpatients, and determine the rate of 30-day medication-related hospital revisits for a geriatric unit. The study was conducted in a tertiary medical center in Taiwan and involved a retrospective quasi pre-intervention (July 1-November 30, 2015) and post-intervention (October 1-December 31, 2016) study design. A multidisciplinary team developed the ieMR platform covering the process from admission to discharge. The ieMR platform included six modules of an enhanced computer physician order entry system (eCPOE), Pharmaceutical-care, Holistic Care, Bedside Display, Personalized Best Possible Medication Discharge Plan, and Pharmaceutical Care Registration System. The ieMR platform prevented the number of potential duplicated medications from pre (25,196 medications, 2.3%) to post (23,413 medications, 3.8%) phases (OR 1.71, 95% CI, 1.68-1.74; p < .001). The most common potential duplicated medications classified by the ATC codes were cardiovascular system (28.4%), alimentary tract and metabolism (26.4%), and nervous system (14.9%), and by chemical substances were sennoside (12.5%), amlodipine (7.5%), and alprazolam (7.4%). The rate of medication-related 30-day hospital revisits for the geriatric unit was significantly decreased in post-intervention compared with that in pre-intervention (OR = 0.12; 95% CI, 0.03-0.53; p < .01). This study indicated that the ieMR platform significantly prevented the number of potential duplicated medications for inpatients and reduced the rate of 30-day medication-related hospital revisits for the patients on the geriatric unit.

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