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Medication reconciliation and review for older emergency patients requires improvement in Finland

Overview of attention for article published in International Journal of Risk & Safety in Medicine, October 2018
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Title
Medication reconciliation and review for older emergency patients requires improvement in Finland
Published in
International Journal of Risk & Safety in Medicine, October 2018
DOI 10.3233/jrs-180030
Pubmed ID
Authors

Lotta Schepel, Lasse Lehtonen, Marja Airaksinen, Raimo Ojala, Jouni Ahonen, Outi Lapatto-Reiniluoto

Abstract

10- 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. To enhance medication history recording and identify drug-related problems (DRPs) of older patients admitted to emergency departments (EDs). DRPs 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. 100% 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. Medication reconciliation and review at admission of older ED patients requires improvement in Finland.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 4 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 4 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 1 25%
Student > Master 1 25%
Researcher 1 25%
Student > Doctoral Student 1 25%
Librarian 1 25%
Other 0 0%
Readers by discipline Count As %
Medicine and Dentistry 2 50%
Nursing and Health Professions 2 50%
Pharmacology, Toxicology and Pharmaceutical Science 1 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 August 2018.
All research outputs
#11,115,321
of 12,498,674 outputs
Outputs from International Journal of Risk & Safety in Medicine
#78
of 92 outputs
Outputs of similar age
#196,135
of 228,527 outputs
Outputs of similar age from International Journal of Risk & Safety in Medicine
#1
of 1 outputs
Altmetric has tracked 12,498,674 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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