Hospital admission medication reconciliation in medically complex children: an observational study

Archives of Disease in Childhood
Bryan L StoneRajendu Srivastava

Abstract

To evaluate admission medication reconciliation in children with medically complex conditions (MCC) by determining the availability and accuracy of five information sources and characterising admitting order errors. Prospective quality improvement cohort study. Tertiary care free-standing children's hospital in the Intermountain west, USA. 23 children with MCC identified from 219 admissions between 16 December 2004 and 7 January 2005. Medication reconciliation at hospital admission using information from five sources. The accuracy of information sources was determined by sensitivity and specificity compared with verified outpatient medication lists. Errors were determined by comparing admitting orders with reconciled inpatient medication lists and categorised by frequency, type and clinical risk. Children with MCC averaged 5.3 chronic medications. The reconciliation process took an average of 90 min. Availability/sensitivity/specificity respectively were parents 52%/0.75/0.96, pharmacy 61%/0.64/0.74, primary provider 43%/0.25/0.86, last admission electronic health record 87%/0.74/0.33 and admitting history 65%/0.31/0.94. Thirty-nine errors were identified in 182 admission medications (21%) including 17 omissions, affecting 13 p...Continue Reading

Citations

May 18, 2016·Hospital Pediatrics·Alisa KhanChristopher P Landrigan
Mar 22, 2018·Hospital Pediatrics·Matthew W ZackoffGrant M Mussman
Feb 12, 2021·BMJ Evidence-based Medicine·Elizabeth T Thomas, Georgia C Richards
Apr 3, 2021·BMC Health Services Research·Sherri AdamsJulia Orkin
May 8, 2021·Archives of Disease in Childhood·Giulyane Targino Aires-MorenoDivaldo Lyra

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