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Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department


Prior, SJ and Cheek, C and Cheah, D and Etherington, C and Williams, A and Reeves, NS, Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department, Healthcare, 7, (152) pp. 1-6. ISSN 2227-9032 (2019) [Refereed Article]


Copyright Statement

Copyright 2019 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.3390/healthcare7040152


Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in transition of care from primary care to the emergency department (ED) over a 12-month period. Medication lists in General Practitioner (GP) referrals to a regional ED were examined against a Best Possible Medication History (BPMH) performed by a hospital pharmacist. One hundred and forty-three patients (25%) with computergenerated GP referrals to ED who were subsequently admitted to hospital had a BPMH taken; 135 (94%) of these had at least one medication discrepancy identified with a discrepancy rate of 67.18 discrepancies per 100 medications. Improving medication reconciliation in the community may reduce the burden associated with preventable medication errors. Whether this is achieved by more frequent GP-led medication review or community-based pharmacist medication review may depend on the community and available resources.

Item Details

Item Type:Refereed Article
Keywords:medication, general practice, discrepancy, pharmacist; risk, referral, best practice medication history
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health and community services
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Rural and remote area health
UTAS Author:Prior, SJ (Dr Sarah Prior)
UTAS Author:Cheek, C (Dr Colleen Cheek)
UTAS Author:Cheah, D (Dr Dong Cheah)
UTAS Author:Etherington, C (Dr Christopher Etherington)
UTAS Author:Williams, A (Dr Abigail Williams)
UTAS Author:Reeves, NS (Ms Nicole Reeves)
ID Code:136076
Year Published:2019
Deposited By:Medicine
Deposited On:2019-11-29
Last Modified:2020-03-30
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