Viktigheten av legemiddelsamstemming for å sikre trygg overgang til elektronisk multidose
Engelsk titel: The importance of medication reconciliation to ensure safe transition to electronic multidose
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Författare:
Mamen, Anette Vik
Email: anette.vikmamen@apotek1.no
Språk: Nor
Antal referenser: 26
Dokumenttyp:
Artikel
UI-nummer: 16113536
Sammanfattning
Background: In 2014 a solution for implementing electronic prescriptions in the multidose drug
dispensing (MDD) system was piloted. The objective of this study was to investigate the number and
type of discrepancies between the general practitioners’ (GPs) and the pharmacy’s medication
records before implementation, and to identify good routines for the conversion.
Material and methods: In 4 Norwegian municipalities medication records from 54 GPs were
compared to the records from the pharmacy, the discrepancies were noted.
Results: In 328 records, 436 discrepancies were disclosed. In the first group (229 patients) 70% had
one or more discrepancies, 49% when dietary supplements and pro re nata (PRN) medication were
excluded. In the second group (99 patients) where the GPs received the pharmacy’s medication lists
prior to the study, 36% had discrepancies, 29% when supplements and PRN were excluded.
Conclusion: The agreement between the medication records was low, thus making medication
reconciliation necessary in order for MDD patients to get correct medications. Due to the number of
discrepancies and short time frame for converting to new routines, the reconciliation should be
performed as a separate process prior to the conversion so that the first medication list sent to the
pharmacy is as correct as possible.