M Fitzsimons|Tamasine Grimes|M. C. Galvin
Sources of pre-admission medication information: observational study of accuracy and availability
Tallaght University Hospital|Trinity College Dublin|Tallaght University Hospital|Trinity College Dublin|Trinity College Dublin
abstract objective identify accessibility sources preadmission medication pam information quantify agreement pam list goldstandard pam list gspaml categorise disagreements methods random selection patients chronic illness admitted via accident emergency one two study hospitals republic ireland recruited patient gspaml compiled pam lists obtained relevant source including patient medications general practitioner gp referral letter past inpatient prescription kardex discharge summary nursing home letter personal communication gp staff community pharmacy staff nursing home staff data collected regarding availability use source allergy status gspaml compared pam disagreements identified categorised key findings data collected 134 patients community pharmacy nursing home staff accessible researchers undertaking medication history ampgt90 followed gp staff 66 except nursing home sources agreement paml gspaml low 217 patients 4477 medications community pharmacy paml frequently agreed gspaml 17 patients 77 medications followed gp staff 10 patients 69 medications previous within last 6 months discharge summaries 3 patients 49 medications gp referral letters 2 patients 44 medications agreed least frequently nursing home 100 gp 91 staff provided accurate allergy information drug omission ampgt35 common disagreement sources except nursing home staff gp staff community pharmacy pamls contained considerable proportion commission discrepancies conclusion community pharmacy gp staff identified available accurate sources pam information prioritised undertaking admission medication reconciliation busy clinical environment