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摘要
Objective: To review the studies that establish the prevalence of patients with medication reconciliation problems at admission, and assess the characteristics of such problem and their related factors.
Method: We searched MEDLINE for studies on reconciliation problems at hospital admission, published between January 1, 2000 and June 30, 2011. We collected data regarding the study design, selected population, evaluated drugs, clinical unit, used results variables, prevalence of patients with reconciliation problems, problem type, main therapeutic group, clinical relevance and significant risk factor.
Results: We included nineteen studies. The median age varied between 51.9 and 82 years, and the average number of drugs was between 3.2 and 19.1. The prevalence of patients with reconciliation problems ranged from 9.1 to 100%. The most prevalent problem type was drug of drug omission, and the most involved therapeutic drugs were group A (gastrointestinal tract and metabolism), C (cardiovascular system), and N (central nervous system). 1.5 to 52.4% of the reconciliation problems would have caused damage in patients. Age and the number of drugs were the most common factors in the emergence of reconciliation problems.
Conclusion: The prevalence of patients with reconciliation problems at admission is quite high, and may lead to damage of varying degrees if not detected in time. For that matter, we must use all the available tools to prevent such errors from reaching the patient, especially the most vulnerable population that present the identified risk factors.
- 出版日期2012-2
