Discharging patients with prescriptions instead of medications : Sequelae in a teaching hospital.
This study measures the incidence of discrepancies among written prescriptions, medication regimens transcribed onto patient discharge instruction sheets (DCIs), and labels on medications dispensed by community pharmacies after discharge of patients from an academic medical center.
During a 2-month study period, we collected copies of prescriptions and DCIs.
We also called care givers after discharge and asked them to read the medication labels that were filled from discharge prescriptions.
Care givers were also asked whether they received instruction from community pharmacists.
Data were collected on 335 prescriptions for 192 patients.
Differences among the prescriptions, DCIs, and medication labels were found for 40 (12%) of the medications prescribed at discharge, representing 19% of the patients studied.
Nineteen prescriptions had prescriber errors in dosing frequencies or dosage formulations.
Three prescriptions were filled with different medication concentrations or strengths than requested.
Prescriptions were altered by the community pharmacists for unexplained reasons in 6 cases, whereas the DCIs and original prescriptions differed in 12 cases.
Only 44% of families were counseled about proper medication administration by their pharmacists.
A potential for medication errors exists when pediatric patients are discharged with unfilled prescriptions.
The potential may be worsened when discharge instructions are...
Mots-clés Pascal : Prescription médicale, Chimiothérapie, Information biomédicale, Médecin, Pharmacien, Erreur, Relation médecin malade, Sortie hôpital, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Medical prescription, Chemotherapy, Biomedical information, Physician, Chemist, Error, Physician patient relation, Hospital discharge, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0224983
Code Inist : 002B30A05. Création : 199608.