Addressing prescription discrepancies in renal patients: a prospective audit.

Lam, S., Docherty, S. and Taylor, J.E., 2018. Addressing prescription discrepancies in renal patients: a prospective audit. Journal of the Royal College of Physicians of Edinburgh, 48 (1), 16 - 19.

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DOI: 10.4997/JRCPE.2018.103

Abstract

Background Management of chronic renal failure requires complex medication regimens to manage hypertension, hyperlipidaemia, diabetes, phosphate, anaemia and acidosis. Patient engagement in medicine management is essential to avoid potential harm. Methods We prospectively audited the rate of discrepancies between our hospital record of patient medications and their current prescription. We investigated whether changes to appointment letters reduced the number of discrepancies. Results The proportion of patients attending renal outpatient clinics failing to bring a list or unable to recall their medications fell over a 3-year period following changes to appointment letters (median proportion: 0.45 in 2014, 0.36 in 2015, 0.30 in 2016, Chi-sq = 46.94, p < 0.001); percentage of patients forgetting to bring a list with significant prescription discrepancies fell from 10.9% in 2014 to 3.9% in 2016). Conclusion Changes to appointment letters can potentially improve prescribing safety in an outpatient setting.

Item Type:Article
ISSN:1478-2715
Uncontrolled Keywords:discrepancies; medicine; outpatient; prescribing; reconciliation; safe
Group:Faculty of Health & Social Sciences
ID Code:30538
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:09 Apr 2018 08:45
Last Modified:09 Apr 2018 08:45

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