Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review
<p>Abstract</p> <p>Background</p> <p>Medical records that do not accurately reflect the patient’s current medication list are an open invitation to errors and may compromise patient safety.</p> <p>Methods</p> <p>This cross-sectional study compare...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-08-01
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| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2296/13/83 |
| _version_ | 1811330310142427136 |
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| author | Olson Matthew D Tong Gretchen L Steiner Beat D Viera Anthony J Ashkin Evan Newton Warren P |
| author_facet | Olson Matthew D Tong Gretchen L Steiner Beat D Viera Anthony J Ashkin Evan Newton Warren P |
| author_sort | Olson Matthew D |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Medical records that do not accurately reflect the patient’s current medication list are an open invitation to errors and may compromise patient safety.</p> <p>Methods</p> <p>This cross-sectional study compares primary care provider (PCP) medication lists and pharmacy claims for 100 patients seen in 8 primary care practices and examines the association of congruence with demographic, clinical, and practice characteristics. Medication list congruence was measured as agreement of pharmacy claims with the entire PCP chart, including current medication list, visit notes, and correspondence sections.</p> <p>Results</p> <p>Congruence between pharmacy claims and the PCP chart was 65%. Congruence was associated with large chronic disease burden, frequent PCP visits, group practice, and patient age ≥45 years.</p> <p>Conclusion</p> <p>Agreement of medication lists between the PCP chart and pharmacy records is low. Medication documentation was more accurate among patients who have more chronic conditions, those who have frequent PCP visits, those whose practice has multiple providers, and those at least 45 years of age. Improved congruence among patients with multiple chronic conditions and in group practices may reflect more frequent visits and reviews by providers.</p> |
| first_indexed | 2024-04-13T15:59:06Z |
| format | Article |
| id | doaj.art-02ec337714714b9fb3aa28fd676c08a1 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-13T15:59:06Z |
| publishDate | 2012-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-02ec337714714b9fb3aa28fd676c08a12022-12-22T02:40:35ZengBMCBMC Family Practice1471-22962012-08-011318310.1186/1471-2296-13-83Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart reviewOlson Matthew DTong Gretchen LSteiner Beat DViera Anthony JAshkin EvanNewton Warren P<p>Abstract</p> <p>Background</p> <p>Medical records that do not accurately reflect the patient’s current medication list are an open invitation to errors and may compromise patient safety.</p> <p>Methods</p> <p>This cross-sectional study compares primary care provider (PCP) medication lists and pharmacy claims for 100 patients seen in 8 primary care practices and examines the association of congruence with demographic, clinical, and practice characteristics. Medication list congruence was measured as agreement of pharmacy claims with the entire PCP chart, including current medication list, visit notes, and correspondence sections.</p> <p>Results</p> <p>Congruence between pharmacy claims and the PCP chart was 65%. Congruence was associated with large chronic disease burden, frequent PCP visits, group practice, and patient age ≥45 years.</p> <p>Conclusion</p> <p>Agreement of medication lists between the PCP chart and pharmacy records is low. Medication documentation was more accurate among patients who have more chronic conditions, those who have frequent PCP visits, those whose practice has multiple providers, and those at least 45 years of age. Improved congruence among patients with multiple chronic conditions and in group practices may reflect more frequent visits and reviews by providers.</p>http://www.biomedcentral.com/1471-2296/13/83CongruenceMedication documentationMedical recordPatient safetyMedication discrepancyCommunity Care of North CarolinaCommunity network |
| spellingShingle | Olson Matthew D Tong Gretchen L Steiner Beat D Viera Anthony J Ashkin Evan Newton Warren P Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review BMC Family Practice Congruence Medication documentation Medical record Patient safety Medication discrepancy Community Care of North Carolina Community network |
| title | Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review |
| title_full | Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review |
| title_fullStr | Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review |
| title_full_unstemmed | Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review |
| title_short | Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review |
| title_sort | medication documentation in a primary care network serving north carolina medicaid patients results of a cross sectional chart review |
| topic | Congruence Medication documentation Medical record Patient safety Medication discrepancy Community Care of North Carolina Community network |
| url | http://www.biomedcentral.com/1471-2296/13/83 |
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