ArticleBasic & clinical pharmacology & toxicology2021
Causes of discrepancies between medications listed in the national electronic prescribing system and patients' actual use of medications.
Article in Basic & clinical pharmacology & toxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Assessment of Medication Adherence Among Heart Failure Patients in an Ambulatory Care Setting: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- Article
- Value Propositions for Digital Shared Medication Plans to Boost Patient-Health Care Professional Partnerships: Co-Design Study.Journal of participatory medicine · 2025Article
- Challenges related to transitioning from hospital to temporary care at a skilled nursing facility: a descriptive study.European geriatric medicine · 2024Article
- Nurse-led medication management as a critical component of transitional care for preventing drug-related problems.Aging clinical and experimental research · 2024Review
- Discrepancies in Electronic Medical Prescriptions Found in a Hospital Emergency Department: A Prospective Observational Study.Pharmaceuticals (Basel, Switzerland) · 2024Article
- Health professionals' experience and perceived obstacles with managing patients' medication information in Norway: cross-sectional survey.BMC health services research · 2024Article
- Article
- Accuracy of an electronic prescribing system for standard treatments.European journal of hospital pharmacy : science and practice · 2023Article
- Optimization of the Danish National Electronic Prescribing System to Improve Patient Safety: Development of a User-Friendly Prototype of the Digital Platform Shared Medication Record.Pharmacy (Basel, Switzerland) · 2023Article
- Developing and piloting a cross-sectoral hospital pharmacist intervention for patients in transition between hospital and general practice.Therapeutic advances in drug safety · 2023Article
- Health care professionals' perspectives on medication safety among older migrants with cognitive impairment exposed to polypharmacy - A qualitative explorative study.Exploratory research in clinical and social pharmacy · 2022Article
- Medicines Reconciliation in the Emergency Department: Important Prescribing Discrepancies between the Shared Medication Record and Patients' Actual Use of Medication.Pharmaceuticals (Basel, Switzerland) · 2022Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Discrepancies between registered prescriptions and patients' actual use of medications are described as frequent and often resulting in adverse medication events. We aimed to assess the extent of and causes behind discrepancies between medications listed in the Danish national prescription system (Shared Medication Record) and patients' actual use of medications. We prospectively reconciled medication for 260 consecutively admitted polypharmacy patients (>50 years and ≥5 prescriptions) at two hospitals in the Capital Region of Denmark. The type of discrepancies were determined and the cause of the discrepancies were evaluated as primarily caused by (1) the patient (i.e., intentional or unintentional non-adherence) or (2) the health care system (i.e., lack of appropriate update of the SMR by physicians in primary or secondary care). There was a median of 12 [IQR 9-15] medications listed and 3 [IQR 1-5] medication discrepancies per patient (total n = 925). The majority (53%) of discrepancies were caused by the health care system, 32% were caused by the patients, of which 70% were intentional non-adherence, and 15% had an indeterminable cause. In conclusion, discrepancies between medications listed in the Shared Medication Record and actual use of medications were frequent and were most often caused by clinicians not updating the prescription information.
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