Partnered pharmacist medication charting (PPMC) in regional and rural general medical patients.
emergency medicine
general medicine
inpatient
medication error
medication safety
pharmacist
pharmacy
prescribing
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
08 Jul 2022
08 Jul 2022
Historique:
revised:
19
04
2022
received:
18
11
2021
accepted:
16
05
2022
pubmed:
9
7
2022
medline:
9
7
2022
entrez:
8
7
2022
Statut:
aheadofprint
Résumé
Errors in hospital medication charts are commonly encountered and have been associated with morbidity and mortality. This study evaluates the impact of the Partnered Pharmacist Medication Charting (PPMC) model on medication errors in general medical patients admitted to rural and regional hospitals. A prospective cohort study, comparing before and after the introduction of PPMC was conducted in 13 rural and regional health services. This included a 1-month pre-intervention phase and 3-month intervention phase. In the intervention phase, PPMC was implemented as a new model of care in general medical units. Victoria, Australia. Patients admitted to General Medical Units. The proportion of medication charts with at least one error was the primary outcome measure. Secondary outcome measures included inpatient length of stay (LOS), risk stratification of medication errors, Medical Emergency Team (MET) calls, transfers to ICU and hospital readmission. Of the 669 patients who received standard medical charting during the pre-intervention period, 446 (66.7%) had at least one medication error identified compared to 64 patients (9.5%) using PPMC model (p < 0.001). There were 1361 medication charting errors identified during pre-intervention and 80 in the post-intervention. The median (interquartile range) inpatient length of stay was 4.8 (2.7-10.8) in the pre-intervention and 3.7 days (2.0-7.0) among patients that received PPMC (p < 0.001). The PPMC model was successfully scaled across rural and regional Victoria as a medication safety strategy. The model was associated with significantly lower rates of medication errors, lower severity of errors and shorter inpatient length of stay.
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Safer Care Victoria
Informations de copyright
© 2022 National Rural Health Alliance Ltd.
Références
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