Title:

Medication safety of elderly patients upon hospital discharge

Author:

Szadkowska, Klaudyna

Subject:

medication errors ; medication-related problems ; continuity of care ; discharge summary

Abstract:

Time upon hospital discharge can be connected with lowering medication safety standards. Objectives: To determine the prevalence and the quality of medication errors and drug-related problems in pharmacotherapy ordered by hospital doctors and taken by geriatric patients 7 to 14 days after hospital discharge. Design: Analysis of medical charts and comprehensive medication assessment were performed. Besides, questionnaire was used. Results: 202 patients of mean age of 75,5 years participated in the study. Mean number of ordered drugs equaled 7,6 ± 2,3, whilst taken 8,1 ± 2,9. 23,8% of patients experienced discontinuity error, whilst 53% consumed extra drugs. In 94 cases drugs were taken in lower and in 36 in higher doses. 12 patients received drugs at different times than ordered. Non-compliance was observed in 40% patients. Concomitant use of the same substance was observed in 47 patients, whilst it was recommended for 23. 2,2 drug-drug interactions were discovered in the posthospital medication regimen and later. Adverse drug events were declared by 59% of patients. 10 kinds of potentially inappropriate drugs independent of diagnosis were consumed by 50 patients at discharge and by 55 10 days later. Potentially inappropriate drugs dependant on diagnosis were taken by 23% of patients. Conclusion: Strict monitoring of pharmacotherapy of patients upon hospital discharge and implementation of intervention strategies are needed to improve quality and medication safety.

Level of degree:

2 - studia doktoranckie

Degree discipline:

farmakologia ; geriatria

Degree grantor:

Wydział Farmacji

Promoter:

Jerzy Brandys

Date:

2010

Date issued:

2008

Type:

Praca doktorska

Format:

text/html

Call number:

ZB-111675

ControlNumberVIRTUA:

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Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

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