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Stewardship-initiated review process helps prevent medication error at discharge

19 Oct 2019
Healthcare professionals should spend sufficient amount of time with their patients in order to elicit information on barriers to medication adherence.

A stewardship-initiated antimicrobial review process shows potential in preventing medication errors at hospital discharge, according to a recent study.

“Developing a systematic process for a multidisciplinary antimicrobial stewardship programme (ASP) team to review all anti-infectives can be a valuable tool in preventing medication errors at hospital discharge,” the authors said.

This study included 45 patients who were discharged on 59 anti-infective prescriptions. Pneumonia (n=10; 22 percent), bacteraemia (n=8; 18 percent), and skin and soft tissue infections (n=7; 16 percent) were the most common indications for such regimens.

Of the patients prescribed anti-infective agents, 19 (42 percent) were identified to have a medication error. Seventy percent of the recommendations by the ASP team had been accepted, and this led to an avoidance of errors in 13 of 19 (68 percent) patients with a medication error prior to hospital discharge.

This prospective study sought to describe a structured, multidisciplinary approach to review anti-infective regimens at discharge and measure the impact of a stewardship-initiated antimicrobial review process in identifying and preventing anti-infective–related medication errors at discharge.

The authors examined adult patients discharged on anti-infectives from October 2013 to May 2014. The ASP classified interventions on anti-infective regimens into predefined categories of medication error.

“Medication reconciliation is a major patient safety concern, and the impact of a structured process to evaluate anti-infective agents at hospital discharge warrants further review,” the authors said.

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Most Read Articles
Elvira Manzano, Yesterday
Monthly injections of the PCSK9* monoclonal antibody evolocumab effectively reduced plasma LDL-cholesterol (LDL-C), often referred to as the bad cholesterol, in teenagers with heterozygous familial hypercholesterolaemia (HeFH) already taking statins, with or without ezetimibe, the HAUSER-RCT has shown.
Jairia Dela Cruz, Yesterday
For individual with type 2 diabetes, losing weight is everything when it comes to improving the metabolic function, and it matters little whether this is achieved by dieting or undergoing bariatric surgery, according to a small study.
Pearl Toh, 21 Sep 2020
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
Yesterday
In patients with type 2 diabetes (T2D), postprandial hyperglycaemia and hypertriglyceridemia worsens survival outlook, finds a new study.