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Impact of partnered pharmacist medication charting (PPMC) on medication discrepancies and errors: A pragmatic evaluation of an emergency department-based process redesign

Citation

Atey, TM and Peterson, GM and Salahudeen, MS and Bereznicki, LR and Simpson, T and Boland, CM and Anderson, E and Burgess, JR and Huckerby, EJ and Tran, V and Wimmer, BC, Impact of partnered pharmacist medication charting (PPMC) on medication discrepancies and errors: A pragmatic evaluation of an emergency department-based process redesign, International Journal of Environmental Research and Public Health, 20, (2) pp. 1-15. ISSN 1660-4601 (2023) [Refereed Article]


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DOI: doi:10.3390/ijerph20021452

Abstract

Medication errors are more prevalent in settings with acutely ill patients and heavy workloads, such as in an emergency department (ED). A pragmatic, controlled study compared partnered pharmacist medication charting (PPMC) (pharmacist-documented best-possible medication history [BPMH] followed by clinical discussion between a pharmacist and medical officer to co-develop a treatment plan and chart medications) with early BPMH (pharmacist-documented BPMH followed by medical officer-led traditional medication charting) and usual care (traditional medication charting approach without a pharmacist-collected BPMH in ED). Medication discrepancies were undocumented differences between medication charts and medication reconciliation. An expert panel assessed the discrepancies’ clinical significance, with ‘unintentional’ discrepancies deemed ‘errors’. Fewer patients in the PPMC group had at least one error (3.5%; 95% confidence interval [CI]: 1.1% to 5.8%) than in the early BPMH (49.4%; 95% CI: 42.5% to 56.3%) and usual care group (61.4%; 95% CI: 56.3% to 66.7%). The number of patients who need to be treated with PPMC to prevent at least one high/extreme error was 4.6 (95% CI: 3.4 to 6.9) and 4.0 (95% CI: 3.1 to 5.3) compared to the early BPMH and usual care group, respectively. PPMC within ED, incorporating interdisciplinary discussion, reduced clinically significant errors compared to early BPMH or usual care.

Item Details

Item Type:Refereed Article
Keywords:pharmacist, co-charting, medication charting, PPMC, emergency department, medication discrepancy, medication error
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacy and pharmacy practice
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health outcomes
UTAS Author:Atey, TM (Mr Tesfay Mehari Atey)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Salahudeen, MS (Dr Mohammed Salahudeen)
UTAS Author:Bereznicki, LR (Professor Luke Bereznicki)
UTAS Author:Burgess, JR (Professor John Burgess)
UTAS Author:Tran, V (Associate Professor Viet Tran)
UTAS Author:Wimmer, BC (Dr Barbara Wimmer)
ID Code:154871
Year Published:2023
Deposited By:Pharmacy
Deposited On:2023-01-17
Last Modified:2023-01-17
Downloads:0

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