Evidence map›Paper›PMID 36674208›Full record

ArticleInternational journal of environmental research and public health2023

Impact of Partnered Pharmacist Medication Charting (PPMC) on Medication Discrepancies and Errors: A Pragmatic Evaluation of an Emergency Department-Based Process Redesign.

Tesfay Mehari Atey, Gregory M Peterson, Mohammed S Salahudeen, Luke R Bereznicki, Tom Simpson, Camille M Boland, Ed Anderson, John R Burgess, Emma J Huckerby, Viet Tran and 1 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

11 authors.

Tesfay Mehari AteySchool of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart 7005, Australia.ORCID 0000-0002-6483-2258
Gregory M PetersonSchool of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart 7005, Australia.ORCID 0000-0002-6764-3882
Mohammed S SalahudeenSchool of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart 7005, Australia.ORCID 0000-0001-9131-7465
Luke R BereznickiSchool of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart 7005, Australia.ORCID 0000-0003-3974-3437
Tom SimpsonPharmacy Department, Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
Camille M BolandPharmacy Department, Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
Ed AndersonPharmacy Department, Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
John R BurgessDepartment of Endocrinology, Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
Emma J HuckerbyEmergency Department, Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
Viet TranTasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Hobart 7000, Australia.ORCID 0000-0002-8890-1457
Barbara C WimmerSchool of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart 7005, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication errors are more prevalent in settings with acutely ill patients and heavy workloads, such as in an emergency department (ED). A pragmatic, controlled study compared partnered pharmacist medication charting (PPMC) (pharmacist-documented best-possible medication history [BPMH] followed by clinical discussion between a pharmacist and medical officer to co-develop a treatment plan and chart medications) with early BPMH (pharmacist-documented BPMH followed by medical officer-led traditional medication charting) and usual care (traditional medication charting approach without a pharmacist-collected BPMH in ED). Medication discrepancies were undocumented differences between medication charts and medication reconciliation. An expert panel assessed the discrepancies' clinical significance, with 'unintentional' discrepancies deemed 'errors'. Fewer patients in the PPMC group had at least one error (3.5%; 95% confidence interval [CI]: 1.1% to 5.8%) than in the early BPMH (49.4%; 95% CI: 42.5% to 56.3%) and usual care group (61.4%; 95% CI: 56.3% to 66.7%). The number of patients who need to be treated with PPMC to prevent at least one high/extreme error was 4.6 (95% CI: 3.4 to 6.9) and 4.0 (95% CI: 3.1 to 5.3) compared to the early BPMH and usual care group, respectively. PPMC within ED, incorporating interdisciplinary discussion, reduced clinically significant errors compared to early BPMH or usual care.

Indexed as

Medication ErrorsPharmacistsEmergency Service, HospitalHumansPiperoxanProspective Studies(N-piperidinomethyl)-2-chromanPiperoxanco-chartingemergency departmentmedication chartingmedication discrepancymedication errorpharmacistPPMC

Identifiers

PMID36674208
PMCPMC9859430

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Registered trials

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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.