Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records
This is a pre-print of an article published in International Journal of Clinical Pharmacy 2017:1-7. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11096-017-0556-x . Background: Low quality of medication information in discharge summaries from hospitals may jeopar...
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ftunivtroemsoe:oai:munin.uit.no:10037/12457 2023-05-15T17:13:00+02:00 Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records Garcia, Beate Hennie Djønne, Berit K Skjold, Frode Mellingen, Ellen Marie Aag, Trine Iversen 2017-11-03 https://hdl.handle.net/10037/12457 https://doi.org/10.1007/s11096-017-0556-x eng eng Springer International Journal of Clinical Pharmacy Garcia, B. H., Djønne, B. K., Skjold, F., Mellingen, E. M., Aag, T, I. (2017). Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records. International Journal of Clinical Pharmacy. 1-7 FRIDAID 1524417 doi:10.1007/s11096-017-0556-x 2210-7703 2210-7711 https://hdl.handle.net/10037/12457 openAccess Clinical audit Communication Hospital Medication systems Norway Patient discharge summary Quality of health care VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 Journal article Tidsskriftartikkel 2017 ftunivtroemsoe https://doi.org/10.1007/s11096-017-0556-x 2021-06-25T17:55:44Z This is a pre-print of an article published in International Journal of Clinical Pharmacy 2017:1-7. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11096-017-0556-x . Background: Low quality of medication information in discharge summaries from hospitals may jeopardize optimal therapy and put the patient at risk for medication errors and adverse drug events. Objective: To audit the quality of medication information in discharge summaries and explore factors associated with the quality. Setting Helgelandssykehuset Mo i Rana, a rural hospital in central Norway. Method: For each month in 2013, we randomly selected 60 discharge summaries from the Department of Medicine and Surgery (totally 720) and evaluated the medication information using eight Norwegian quality criteria. Main outcome measure: Mean score per discharge summary ranging from 0 (lowest quality) to 16 (highest quality). Results: Mean score per discharge summary was 7.4 (SD 2.8; range 0–14), significantly higher when evaluating medications used regularly compared to mediations used as needed (7.80 vs. 6.52; p < 0.001). Lowest score was achieved for quality criteria concerning generic names, indications for medication use, reasons why changes had been made and information about the source for information. Factors associated with increased quality scores are increasing numbers of medications and male patients. Increasing age seemed to be associated with a reduced score, while type of department was not associated with the quality. Conclusion: In discharge summaries from 2013, we identified a low quality of medication information in accordance with the Norwegian quality criteria. Actions for improvement are necessary and follow-up studies to monitor quality are needed. Article in Journal/Newspaper Mo i Rana University of Tromsø: Munin Open Research Archive Mo i Rana ENVELOPE(14.133,14.133,66.310,66.310) Norway International Journal of Clinical Pharmacy 39 6 1331 1337 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
Clinical audit Communication Hospital Medication systems Norway Patient discharge summary Quality of health care VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 |
spellingShingle |
Clinical audit Communication Hospital Medication systems Norway Patient discharge summary Quality of health care VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 Garcia, Beate Hennie Djønne, Berit K Skjold, Frode Mellingen, Ellen Marie Aag, Trine Iversen Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
topic_facet |
Clinical audit Communication Hospital Medication systems Norway Patient discharge summary Quality of health care VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 |
description |
This is a pre-print of an article published in International Journal of Clinical Pharmacy 2017:1-7. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11096-017-0556-x . Background: Low quality of medication information in discharge summaries from hospitals may jeopardize optimal therapy and put the patient at risk for medication errors and adverse drug events. Objective: To audit the quality of medication information in discharge summaries and explore factors associated with the quality. Setting Helgelandssykehuset Mo i Rana, a rural hospital in central Norway. Method: For each month in 2013, we randomly selected 60 discharge summaries from the Department of Medicine and Surgery (totally 720) and evaluated the medication information using eight Norwegian quality criteria. Main outcome measure: Mean score per discharge summary ranging from 0 (lowest quality) to 16 (highest quality). Results: Mean score per discharge summary was 7.4 (SD 2.8; range 0–14), significantly higher when evaluating medications used regularly compared to mediations used as needed (7.80 vs. 6.52; p < 0.001). Lowest score was achieved for quality criteria concerning generic names, indications for medication use, reasons why changes had been made and information about the source for information. Factors associated with increased quality scores are increasing numbers of medications and male patients. Increasing age seemed to be associated with a reduced score, while type of department was not associated with the quality. Conclusion: In discharge summaries from 2013, we identified a low quality of medication information in accordance with the Norwegian quality criteria. Actions for improvement are necessary and follow-up studies to monitor quality are needed. |
format |
Article in Journal/Newspaper |
author |
Garcia, Beate Hennie Djønne, Berit K Skjold, Frode Mellingen, Ellen Marie Aag, Trine Iversen |
author_facet |
Garcia, Beate Hennie Djønne, Berit K Skjold, Frode Mellingen, Ellen Marie Aag, Trine Iversen |
author_sort |
Garcia, Beate Hennie |
title |
Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
title_short |
Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
title_full |
Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
title_fullStr |
Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
title_full_unstemmed |
Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
title_sort |
quality of medication information in discharge summaries from hospitals: an audit of electronic patient records |
publisher |
Springer |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/12457 https://doi.org/10.1007/s11096-017-0556-x |
long_lat |
ENVELOPE(14.133,14.133,66.310,66.310) |
geographic |
Mo i Rana Norway |
geographic_facet |
Mo i Rana Norway |
genre |
Mo i Rana |
genre_facet |
Mo i Rana |
op_relation |
International Journal of Clinical Pharmacy Garcia, B. H., Djønne, B. K., Skjold, F., Mellingen, E. M., Aag, T, I. (2017). Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records. International Journal of Clinical Pharmacy. 1-7 FRIDAID 1524417 doi:10.1007/s11096-017-0556-x 2210-7703 2210-7711 https://hdl.handle.net/10037/12457 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1007/s11096-017-0556-x |
container_title |
International Journal of Clinical Pharmacy |
container_volume |
39 |
container_issue |
6 |
container_start_page |
1331 |
op_container_end_page |
1337 |
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1766069899004739584 |