Josh Peterson
Last active: 5/19/2014

Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists.

Peterson JF, Shi Y, Denny JC, Matheny ME, Schildcrout JS, Waitman LR, Miller RA
AMIA Annu Symp Proc. 2010 2010: 642-6

PMID: 21347057 · PMCID: PMC3041392

Inaccurate records of pre-admission medication exposure have been identified as a major source of medication error. Authors collected records of patients' pre-admission medications: 1) the most recent outpatient medication list ("EMR"), 2) the medication list recorded by admitting providers ("H&P"), and 3) a list generated by a medication reconciliation process conducted by nursing staff ("PAML"). Forty-eight sets of pre-admission records composed of 1087 medication entries were compared to a reference standard generated by trained study staff conducting an independent interview. Sensitivity was greatest for PAML (85%), compared to EMR (76%) and H&P (76%) sources. However, positive predictive value was greatest for the H&P source at 96% vs 88% and 91% for PAML and EMR sources respectively. Potentially harmful medication discrepancies were found within all lists. The authors concluded no single list was sufficiently accurate to avoid serious medication errors.

MeSH Terms (6)

Hospitalization Humans Medication Errors Medication Reconciliation Patient Admission Prevalence

Connections (3)

This publication is referenced by other Labnodes entities: