Utility of an Algorithm to Increase the Accuracy of Medication History in an Obstetrical Setting.

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_A5136B4D227F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Utility of an Algorithm to Increase the Accuracy of Medication History in an Obstetrical Setting.
Périodique
Plos One
Auteur(s)
Corbel A., Baud D., Chaouch A., Beney J., Csajka C., Panchaud A.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
11
Numéro
3
Pages
e0151205
Langue
anglais
Résumé
BACKGROUND: In an obstetrical setting, inaccurate medication histories at hospital admission may result in failure to identify potentially harmful treatments for patients and/or their fetus(es).
METHODS: This prospective study was conducted to assess average concordance rates between (1) a medication list obtained with a one-page structured medication history algorithm developed for the obstetrical setting and (2) the medication list reported in medical records and obtained by open-ended questions based on standard procedures. Both lists were converted into concordance rate using a best possible medication history approach as the reference (information obtained by patients, prescribers and community pharmacists' interviews).
RESULTS: The algorithm-based method obtained a higher average concordance rate than the standard method, with respectively 90.2% [CI95% 85.8-94.3] versus 24.6% [CI95%15.3-34.4] concordance rates (p<0.01).
CONCLUSION: Our algorithm-based method strongly enhanced the accuracy of the medication history in our obstetric population, without using substantial resources. Its implementation is an effective first step to the medication reconciliation process, which has been recognized as a very important component of patients' drug safety.
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/04/2016 13:43
Dernière modification de la notice
20/08/2019 15:10
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