Evidence map›Paper›PMID 31015221›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

The Patient-Held Active Record of Medication Status (PHARMS) study: a mixed-methods feasibility analysis.

Elaine K Walsh, Laura J Sahm, Colin P Bradley, Kieran Dalton, Kathleen O'Sullivan, Stephen McCarthy, Eimear Connolly, Ciara Fitzgerald, William H Smithson, David Kerins and 2 more

Abstract read
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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Elaine K WalshDepartment of General Practice.
Laura J SahmSchool of Pharmacy.
Colin P BradleyDepartment of General Practice.
Kieran DaltonSchool of Pharmacy.
Kathleen O'SullivanDepartment of Maths.
Stephen McCarthyHealth Information Systems Research Centre.
Eimear ConnollySchool of Medicine.
Ciara FitzgeraldHealth Information Systems Research Centre.
William H SmithsonDepartment of General Practice.
David KerinsDepartment of Pharmacology and Therapeutics, University College Cork, and consultant, Department of Cardiology, Mercy University Hospital, Cork.
Derina ByrneDepartment of Pharmacy, Mercy University Hospital, Cork.
Patricia M KearneySchool of Public Health, University College Cork, Cork.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication errors frequently occur as patients transition between hospital and the community, and may result in patient harm. Novel methods are required to address this issue.

aimTo assess the feasibility of introducing an electronic patient-held active record of medication status device (PHARMS) at the primary-secondary care interface at the time of hospital discharge. DESIGN AND

settingA mixed-methods study (non-randomised controlled intervention, and a process evaluation of qualitative interviews and non-participant observation) among patients >60 years in an urban hospital and general practices in Cork, Ireland.

methodThe number and clinical significance of errors were compared between discharge prescriptions of the intervention (issued with a PHARMS device) and control (usual care, handwritten discharge prescription) groups. Semi-structured interviews were conducted with patients, junior doctors, GPs, and IT professionals, in addition to direct observation of the implementation process.

resultsIn all, 102 patients were included in the final analysis (intervention

conclusionThe results suggest that using PHARMS devices within existing systems in general practice and hospitals is feasible and acceptable to both patients and doctors, and may reduce medication error.

Indexed as

Continuity of Patient CareGeneral PracticeElectronic Health RecordsFeasibility StudiesFemaleFocus GroupsHumansIrelandMaleMedication ErrorsMedication Therapy ManagementMiddle AgedOutcome and Process Assessment, Health CarePatient Dischargeelectronic health recordsgeneral practicemedication errorspatient transfersecondary care

Identifiers

PMID31015221
PMCPMC6478471

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.