TY  -  JOUR
AU  -  Gorreja, Frida
AU  -  Damuzzo, Vera
AU  -  Gallo, Umberto
AU  -  Russi, Alberto
AU  -  Lo Re, Francesco
AU  -  Ciampalini, Susanna
AU  -  Guidotti, Lucia
AU  -  Serena, Marta
AU  -  Palozzo, Angelo Claudio
T1  -  A survey on patients medication reconciliation process
in an oncological hospital
PY  -  2017
Y1  -  2017-03-01
DO  -  10.1701/2656.27237
JO  -  Recenti Progressi in Medicina
JA  -  Recenti Prog Med
VL  -  108
IS  -  3
SP  -  141
EP  -  148
PB  -  Il Pensiero Scientifico Editore
SN  -  2038-1840
Y2  -  2026/04/16
UR  -  http://dx.doi.org/10.1701/2656.27237
N2  -  Summary. Objectives. The purpose of this study was to assess the impact of medication reconciliation in the clinical practice from a hospital pharmacist point of view. Methods. A survey of the medication taken by cancer patients was performed on admission and on discharge in an Oncological hospital, and then the subjects were followed up until discharge for 8 weeks. The pharmacist entered the data collected into a computer based tool which, by using Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions (STOPP criteria) and Micromedex™ interactions database, automatically produces a report indicating the possible inconsistencies. The report is to check all potentially inappropriate prescriptions (PIPs) correlated to the drugs assumption by the patient. The appropriateness of the medication was scored using a Medication Appropriateness Index (MAI index) which was used to reconcile the medication list accordingly. Results. Patients reconciled at admission were 98, while patients reconciled at discharge were 90, 8 patients dropped out due to death. After the intervention of the hospital pharmacist, the average value of MAI index showed a significant reduction (3,391 to 2,552 p=0.039) and the median number of drugs prescribed per patient was decreased (7 vs 6; p=0.8058). Conclusion. Our study demonstrated that the forms used in the reconciliation process, in particular the record card, is a promising method to increase the quality of the information related to drug use in clinical decisions. We think that medication reconciliation softwares should be widely used by health care professionals involved in the recording of drug history or prescription process.
ER  -