ArticleThe International journal of risk & safety in medicine
Medication reconciliation and review for older emergency patients requires improvement in Finland.
Article in The International journal of risk & safety in medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 22 citations in OpenAlex.
- Improving medication safety with proactive reconciliation in acute coronary syndrome patients: A randomized trial.Exploratory research in clinical and social pharmacy · 2025Article
- Developing an In-House Comprehensive Medication Review Training Program for Clinical Pharmacists in a Finnish Hospital Pharmacy.International journal of environmental research and public health · 2023Review
- Article
- Implementing a New Electronic Health Record System in a University Hospital: The Effect on Reported Medication Errors.Healthcare (Basel, Switzerland) · 2022Article
- Evaluation of medication reconciliation process in internal medicine wards of an academic medical center by a pharmacist: errors and risk factors.Internal and emergency medicine · 2022Article
- Developing and piloting a self-assessment tool for medication review competence of practicing pharmacists based on nationally set competence criteria.BMC health services research · 2021Article
- Collaborative Medication Reviews to Identify Inappropriate Prescribing in Pre-Admission Medications at Emergency Department Short-Term Ward.Integrated pharmacy research & practice · 2021Article
- An inventory of collaborative medication reviews for older adults - evolution of practices.BMC geriatrics · 2019Article
- The New Era of Pharmacists in Ambulatory Patient Care.Innovations in pharmacy · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background10-30% of hospital stays by older patients are drug-related. The admission phase is important for identifying drug-related problems, but taking an incorrect medication history often leads to medication errors.
objectivesTo enhance medication history recording and identify drug-related problems (DRPs) of older patients admitted to emergency departments (EDs).
methodsDRPs were identified by pharmacists-led medication reconciliation and review procedures in two EDs in Finland; Helsinki University Hospital (HUS), and Kuopio University Hospital (KUH). One-hundred-and-fifty patients aged ≥65-years, living at home and using ≥6 medicines were studied.
results100% of patients (N = 75) in HUS and 99% in KUH (N = 75), had discrepancies in their admission-medication chart recorded by the nurse or physician. Associations between admission-diagnosis and drug-related problems were found in 12 patients (16%) in HUS and 22 patients (29%) in KUH. Of these, high-alert medications (e.g. antithrombotics, cytostatics, opioids) were linked to eight patients (11%) in HUS and six patients (8%) in KUH. Other acute DRPs were identified in 19 patients (25%) in HUS and 54 patients (72%) in KUH. Furthermore, 67 patients (89%) in HUS and all patients in KUH had non-acute DRPs.
conclusionsMedication reconciliation and review at admission of older ED patients requires improvement in Finland.
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