Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies
Abstract Background Access to medicines information is important when treating patients, yet discrepancies in medication records are common. Many countries are developing shared medication lists across health care providers. These systems can improve information sharing, but little is known about ho...
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-07346-8 |
| _version_ | 1819009670243680256 |
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| author | Anette Vik Josendal Trine Strand Bergmo Anne Gerd Granas |
| author_facet | Anette Vik Josendal Trine Strand Bergmo Anne Gerd Granas |
| author_sort | Anette Vik Josendal |
| collection | DOAJ |
| description | Abstract Background Access to medicines information is important when treating patients, yet discrepancies in medication records are common. Many countries are developing shared medication lists across health care providers. These systems can improve information sharing, but little is known about how they affect the need for medication reconciliation. The aim of this study was to investigate whether an electronically Shared Medication List (eSML) reduced discrepancies between medication lists in primary care. Methods In 2018, eSML was tested for patients in home care who received multidose drug dispensing (MDD) in Oslo, Norway. We followed this transition from the current paper-based medication list to an eSML. Medication lists from the GP, home care service and community pharmacy were compared 3 months before the implementation and 18 months after. MDD patients in a neighbouring district in Oslo served as a control group. Results One hundred eighty-nine patients were included (100 intervention; 89 control). Discrepancies were reduced from 389 to 122 (p < 0.001) in the intervention group, and from 521 to 503 in the control group (p = 0.734). After the implementation, the share of mutual prescription items increased from 77 to 94%. Missing prescriptions for psycholeptics, analgesics and dietary supplements was reduced the most. Conclusions The eSML greatly decreases discrepancies between the GP, home care and pharmacy medication lists, but does not eliminate the need for medication reconciliation. |
| first_indexed | 2024-12-21T01:00:03Z |
| format | Article |
| id | doaj.art-72816ddf41634c3198c154b5d2547b54 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-21T01:00:03Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-72816ddf41634c3198c154b5d2547b542022-12-21T19:21:13ZengBMCBMC Health Services Research1472-69632021-12-012111910.1186/s12913-021-07346-8Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepanciesAnette Vik Josendal0Trine Strand Bergmo1Anne Gerd Granas2Norwegian Centre for E-health Research, University Hospital of North NorwayNorwegian Centre for E-health Research, University Hospital of North NorwayDepartment of Pharmacy, University of OsloAbstract Background Access to medicines information is important when treating patients, yet discrepancies in medication records are common. Many countries are developing shared medication lists across health care providers. These systems can improve information sharing, but little is known about how they affect the need for medication reconciliation. The aim of this study was to investigate whether an electronically Shared Medication List (eSML) reduced discrepancies between medication lists in primary care. Methods In 2018, eSML was tested for patients in home care who received multidose drug dispensing (MDD) in Oslo, Norway. We followed this transition from the current paper-based medication list to an eSML. Medication lists from the GP, home care service and community pharmacy were compared 3 months before the implementation and 18 months after. MDD patients in a neighbouring district in Oslo served as a control group. Results One hundred eighty-nine patients were included (100 intervention; 89 control). Discrepancies were reduced from 389 to 122 (p < 0.001) in the intervention group, and from 521 to 503 in the control group (p = 0.734). After the implementation, the share of mutual prescription items increased from 77 to 94%. Missing prescriptions for psycholeptics, analgesics and dietary supplements was reduced the most. Conclusions The eSML greatly decreases discrepancies between the GP, home care and pharmacy medication lists, but does not eliminate the need for medication reconciliation.https://doi.org/10.1186/s12913-021-07346-8Shared medication listMultidose drug dispensingMedication reconciliationMedication discrepanciesPrimary careE-health |
| spellingShingle | Anette Vik Josendal Trine Strand Bergmo Anne Gerd Granas Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies BMC Health Services Research Shared medication list Multidose drug dispensing Medication reconciliation Medication discrepancies Primary care E-health |
| title | Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies |
| title_full | Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies |
| title_fullStr | Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies |
| title_full_unstemmed | Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies |
| title_short | Implementation of a shared medication list in primary care – a controlled pre-post study of medication discrepancies |
| title_sort | implementation of a shared medication list in primary care a controlled pre post study of medication discrepancies |
| topic | Shared medication list Multidose drug dispensing Medication reconciliation Medication discrepancies Primary care E-health |
| url | https://doi.org/10.1186/s12913-021-07346-8 |
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