Evidence map›Paper›PMID 18537964›Full record

ArticleBritish journal of clinical pharmacology2008

Does a physician's specialty influence the recording of medication history in patients' case notes?

Kazeem B Yusuff, Fola Tayo

Abstract read
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Article in British journal of clinical pharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Medication errors: the importance of an accurate drug history.British journal of clinical pharmacology · 2009
    Article
  7. Article
4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Kazeem B YusuffDepartment of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria. yusuffkby@yahoo.co.uk
Fola Tayo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the impact of a physician's specialty on the frequency and depth of medication history documented in patient medical records.

methodsA cross-sectional assessment of the frequency and depth of medication history information documented by 123 physicians for 900 randomly selected patients stratified across Cardiology, Chest, Dermatology, Endocrine, Gastroenterology, Haematology, Neurology, Psychiatry and Renal specialties was carried out at a 900-bed teaching hospital located in Ibadan, Nigeria.

resultsFour hundred and forty-three (49.2%) of the cohort were males and 457 (50.8%) were females; with mean ages 43.2 +/- 18.6 and 43.1 +/- 17.9 years respectively. Physicians' specialties significantly influenced the depth of documentation of the medication history information across the nine specialties (P < 0.0001). Post hoc pair-wise comparisons with Tukey's HSD test showed that the mean scores for adverse drug reactions and adherence to medicines was highest in the Cardiology specialty; while the Chest specialty had the highest mean scores for allergy to drugs, food, chemicals and cigarette smoking. Mean scores for the use of alcohol; illicit drugs; dietary restrictions was highest for Gastroenterology, Psychiatry and Endocrine specialties respectively. Physicians' specialties also significantly influenced the frequency of documentation of the medication history across the nine specialties (P < 0.0001).

conclusionsPhysicians appear to document more frequently and in greater depth medication history information that may aid the diagnostic tasks in their specific specialty. Researchers and other users of medication history data documented in patients' medical records by physicians may want to take special cognizance of this phenomenon.

Indexed as

Attitude of Health PersonnelMedicineSpecializationAdultClinical ProtocolsCross-Sectional StudiesFemaleHumansMaleMedical History TakingMedical RecordsMiddle AgedNigeriaPhysiciansPractice Patterns, Physicians'Random Allocation

Identifiers

PMID18537964
PMCPMC2492926

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