Addressing prescription discrepancies in renal patients: A prospective audit

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: Journal of the Royal College of Physicians of Edinburgh

Volume: 48

Issue: 1

Pages: 16-19

ISSN: 1478-2715

DOI: 10.4997/JRCPE.2018.103

Abstract:

Background Management of chronic renal failure requires complex medication regimens to manage hypertension, hyperlipidaemia, diabetes, phosphate, anaemia and acidosis. Patient engagement in medicine management is essential to avoid potential harm. Methods We prospectively audited the rate of discrepancies between our hospital record of patient medications and their current prescription. We investigated whether changes to appointment letters reduced the number of discrepancies. Results The proportion of patients attending renal outpatient clinics failing to bring a list or unable to recall their medications fell over a 3-year period following changes to appointment letters (median proportion: 0.45 in 2014, 0.36 in 2015, 0.30 in 2016, Chi-sq = 46.94, p < 0.001); percentage of patients forgetting to bring a list with significant prescription discrepancies fell from 10.9% in 2014 to 3.9% in 2016). Conclusion Changes to appointment letters can potentially improve prescribing safety in an outpatient setting.

http://eprints.bournemouth.ac.uk/30538/

Source: Scopus

Preferred by: Sharon Docherty

Addressing prescription discrepancies in renal patients: a prospective audit.

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: J R Coll Physicians Edinb

Volume: 48

Issue: 1

Pages: 16-19

eISSN: 2042-8189

DOI: 10.4997/JRCPE.2018.103

Abstract:

Background Management of chronic renal failure requires complex medication regimens to manage hypertension, hyperlipidaemia, diabetes, phosphate, anaemia and acidosis. Patient engagement in medicine management is essential to avoid potential harm. Methods We prospectively audited the rate of discrepancies between our hospital record of patient medications and their current prescription. We investigated whether changes to appointment letters reduced the number of discrepancies. Results The proportion of patients attending renal outpatient clinics failing to bring a list or unable to recall their medications fell over a 3-year period following changes to appointment letters (median proportion: 0.45 in 2014, 0.36 in 2015, 0.30 in 2016, Chi-sq = 46.94, p < 0.001); percentage of patients forgetting to bring a list with significant prescription discrepancies fell from 10.9% in 2014 to 3.9% in 2016). Conclusion Changes to appointment letters can potentially improve prescribing safety in an outpatient setting.

http://eprints.bournemouth.ac.uk/30538/

Source: PubMed

Addressing prescription discrepancies in renal patients: a prospective audit

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH

Volume: 48

Issue: 1

Pages: 16-19

eISSN: 2042-8189

ISSN: 1478-2715

DOI: 10.4997/JRCPE.2018.103

http://eprints.bournemouth.ac.uk/30538/

Source: Web of Science (Lite)

Addressing prescription discrepancies in renal patients: a prospective audit

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: Journal of the Royal College of Physicians of Edinburgh

Volume: 48

Issue: 1

Pages: 16-19

Publisher: Royal College of Physicians of Edinburgh

ISSN: 1478-2715

DOI: 10.4997/JRCPE.2018.103

http://eprints.bournemouth.ac.uk/30538/

Source: Manual

Addressing prescription discrepancies in renal patients: a prospective audit.

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: The journal of the Royal College of Physicians of Edinburgh

Volume: 48

Issue: 1

Pages: 16-19

eISSN: 2042-8189

ISSN: 1478-2715

DOI: 10.4997/jrcpe.2018.103

Abstract:

Background Management of chronic renal failure requires complex medication regimens to manage hypertension, hyperlipidaemia, diabetes, phosphate, anaemia and acidosis. Patient engagement in medicine management is essential to avoid potential harm. Methods We prospectively audited the rate of discrepancies between our hospital record of patient medications and their current prescription. We investigated whether changes to appointment letters reduced the number of discrepancies. Results The proportion of patients attending renal outpatient clinics failing to bring a list or unable to recall their medications fell over a 3-year period following changes to appointment letters (median proportion: 0.45 in 2014, 0.36 in 2015, 0.30 in 2016, Chi-sq = 46.94, p < 0.001); percentage of patients forgetting to bring a list with significant prescription discrepancies fell from 10.9% in 2014 to 3.9% in 2016). Conclusion Changes to appointment letters can potentially improve prescribing safety in an outpatient setting.

http://eprints.bournemouth.ac.uk/30538/

Source: Europe PubMed Central

Addressing prescription discrepancies in renal patients: a prospective audit

Authors: Lam, S., Docherty, S. and Taylor, J.E.

Journal: Journal of the Royal College of Physicians of Edinburgh

Volume: 48

Issue: 1

Pages: 16-19

ISSN: 1478-2715

Abstract:

Background Management of chronic renal failure requires complex medication regimens to manage hypertension, hyperlipidaemia, diabetes, phosphate, anaemia and acidosis. Patient engagement in medicine management is essential to avoid potential harm.

Methods We prospectively audited the rate of discrepancies between our hospital record of patient medications and their current prescription. We investigated whether changes to appointment letters reduced the number of discrepancies.

Results The proportion of patients attending renal outpatient clinics failing to bring a list or unable to recall their medications fell over a 3-year period following changes to appointment letters (median proportion: 0.45 in 2014, 0.36 in 2015, 0.30 in 2016, Chi-sq = 46.94, p < 0.001); percentage of patients forgetting to bring a list with significant prescription discrepancies fell from 10.9% in 2014 to 3.9% in 2016).

Conclusion Changes to appointment letters can potentially improve prescribing safety in an outpatient setting.

http://eprints.bournemouth.ac.uk/30538/

Source: BURO EPrints