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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
05 Nov 2019
Low total cholesterol levels appear to carry increased major adverse cardiovascular events (MACE) hazard in older men without ischaemic heart disease (IHD) and not receiving statin therapy but not to those on statins, according to data from the CHAMP (Concord Health and Ageing in Men Project) cohort.
2 days ago
Better sleep appears to weaken pain and fatigue in older, community-dwelling adults with hip or knee osteoarthritis (OA), reports a recent study.
6 days ago
Maribavir 400 mg twice daily appears to have comparable efficacy to valganciclovir at clearing cytomegalovirus viraemia in transplant recipients, a study has found.
5 days ago
Individuals with and without gout appear to have a similar risk of developing colorectal cancer, suggesting that gout does not contribute to a risk increase, a study has found.