Who collect the patient's medication history in your emergency department?

 

If the answer is a physician or nurse, you may need to reconsider this.

 

At the Cedars-Sinai Medical Center, pharmacy staff collected information and reduced over 80% of drug orders errors, according to an article published by BMJ Quality and Safety. Rita Shane, research co-researcher, said: "In the healthcare environment, mistakes made by individuals with different levels of knowledge can become" hard-wired "and used to prescribe the drugs that can cause harm." 

 

To determine the benefits of medications in drug treatment, the researchers conducted a three-arm randomized controlled trial of approximately 300 inpatients. In both intervention groups, pharmacy staff (pharmacists in one case and pharmacists in another case) obtained initial drug history prior to admission and coordinated medication information from multiple sources. In addition, all arms, including the control group, received usual AMH care.

 

The primary outcome was a severity-weighted average AMH error score, with 1, 4, or 9 points assigned to each error to calculate the severity-weighted AMH and allowable drug treatment order (AMO) error scores for each patient. The researchers reported that the mean ± standard deviation (SD) errors per patient for routine care, pharmacist and technician were 8.0 ± 5.6, 1.4 ± 1.9 and 1.5 ± 2.1, respectively. At the same time, mean ± SD severity-weighted AMH error scores were 23.0 ± 16.1, 4.1 ± 6.8 and 4.1 ± 7.0 for each patient for routine care, pharmacist and technician arms, respectively. The AMH error resulted in a mean ± SD of 3.2 ± 2.9, 0.6 ± 1.1, and 0.6 ± 1.1 AMO errors per patient, with mean severity-weighted AMO error scores of 6.9 ± 7.2, 1.5 ± 2.9, and 1.2 ± 2.5, respectively, Group.

 

The researchers noted: "Pharmacists and technicians have reduced AMH errors by 80% and AMO errors by more than 80%." Future research should examine other sites and patient-centered outcomes. " Researchers pointed out that clinicians are busy performing other tasks, so that the history of drug treatment is often less than they should get the attention.

 

Joshua Pevnick, MD, assistant professor of medicine at Cedars-Sinai, added: "The standard practice in the United States is for doctors and nurses to put these histories together with the delivery and coordination of patient care." That's why it is helpful to assign this task to a pharmacy specialist Their only role is to master these histories. "