Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

Methods for categorizing the scale and severity of medication errors corrected by pharmacy staff during admission medication reconciliation using complete medication history continue to evolve. We established a rating scale that is effective for generating error reports to health system quality lead...

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Main Authors: Victoria Vargas, Weston W Blakeslee, Colin A Banas, Christian Teter, Katherine Dupuis-Dobson, Carol Aboud
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0279903
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author Victoria Vargas
Weston W Blakeslee
Colin A Banas
Christian Teter
Katherine Dupuis-Dobson
Carol Aboud
author_facet Victoria Vargas
Weston W Blakeslee
Colin A Banas
Christian Teter
Katherine Dupuis-Dobson
Carol Aboud
author_sort Victoria Vargas
collection DOAJ
description Methods for categorizing the scale and severity of medication errors corrected by pharmacy staff during admission medication reconciliation using complete medication history continue to evolve. We established a rating scale that is effective for generating error reports to health system quality leadership. These reports are needed to quantify the value of investment in transitions-of-care pharmacy staff. All medication errors that were reported by pharmacy staff in the admission medication reconciliation process during a period of 6 months were eligible for inclusion. Complete medication history data source was utilized by admitting providers and all pharmacist staff and a novel medication error scoring methodology was developed. This methodology included: medication error category, medication error type, potential medication error severity, and medication non-adherence. We determined that 82 medication errors were detected from 72 patients and assessed that 74 of these errors may have harmed patients if they were not corrected through pharmacist intervention. Most of these errors were dosage discrepancies and omissions. With hospital system budgets continually becoming leaner, it is important to measure the effectiveness and value of staff resources to optimize patient care. Pharmacists performing admission medication reconciliation can detect subtle medication discrepancies that may be overlooked by other clinician types. This methodology can serve as a foundation for error reporting and predicting the severity of adverse drug events.
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spelling doaj.art-0eeafe42067d4a4fa14262c39e2786622023-03-21T05:31:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e027990310.1371/journal.pone.0279903Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.Victoria VargasWeston W BlakesleeColin A BanasChristian TeterKatherine Dupuis-DobsonCarol AboudMethods for categorizing the scale and severity of medication errors corrected by pharmacy staff during admission medication reconciliation using complete medication history continue to evolve. We established a rating scale that is effective for generating error reports to health system quality leadership. These reports are needed to quantify the value of investment in transitions-of-care pharmacy staff. All medication errors that were reported by pharmacy staff in the admission medication reconciliation process during a period of 6 months were eligible for inclusion. Complete medication history data source was utilized by admitting providers and all pharmacist staff and a novel medication error scoring methodology was developed. This methodology included: medication error category, medication error type, potential medication error severity, and medication non-adherence. We determined that 82 medication errors were detected from 72 patients and assessed that 74 of these errors may have harmed patients if they were not corrected through pharmacist intervention. Most of these errors were dosage discrepancies and omissions. With hospital system budgets continually becoming leaner, it is important to measure the effectiveness and value of staff resources to optimize patient care. Pharmacists performing admission medication reconciliation can detect subtle medication discrepancies that may be overlooked by other clinician types. This methodology can serve as a foundation for error reporting and predicting the severity of adverse drug events.https://doi.org/10.1371/journal.pone.0279903
spellingShingle Victoria Vargas
Weston W Blakeslee
Colin A Banas
Christian Teter
Katherine Dupuis-Dobson
Carol Aboud
Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
PLoS ONE
title Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
title_full Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
title_fullStr Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
title_full_unstemmed Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
title_short Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
title_sort use of complete medication history to identify and correct transitions of care medication errors at psychiatric hospital admission
url https://doi.org/10.1371/journal.pone.0279903
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