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- Title
Admission Medication Reconciliation Discrepancies in Trauma Patients: Consistent Nursing Care May Not Be the Answer.
- Authors
Gautreaux, Corinne E.; Robinson, Thomas W.; Dunbar, Elisabeth G.; Lee, Yann-Leei L.; Mbaka, Maryann; Kinnard, Christopher M.; Bright, Andrew C.; Williams, Ashley Y.; Polite, Nathan M.; Capasso, Thomas J.; Simmons, Jon D.; Butts, C. Caleb
- Abstract
Inadvertent medication reconciliation discrepancies are common among trauma patient populations. We conducted a prospective study at a level 1 trauma center to assess incidence of inadvertent medication reconciliation discrepancies following decreased reliance on short-term nursing staff. Patients and independent sources were interviewed for home medication lists and compared to admission medication reconciliation (AMR) lists. Of the 108 patients included, 37 patients (34%) never received an AMR. Of the 71 patients that had a completed AMR, 42 patients (59%) had one or more errors, with total 154 errors across all patients, for a rate of 3.7 per patient with any discrepancy. Patients taking ≥ 5 medications were significantly more likely to have an incomplete or inaccurate AMR than those taking <5 medications (89% vs 41%, P <.0001). Decreased reliance on short-term nursing staff did not decrease inadvertent admission medication reconciliation discrepancies. Additional interventions to decrease risk of medication administration errors are needed.
- Subjects
MEDICATION reconciliation; NURSE-patient relationships; NURSES as patients; MEDICATION errors; TRAUMA centers
- Publication
American Surgeon, 2024, Vol 90, Issue 7, p1954
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/00031348241241647