Home Medication Review to Identify the Medication Errors in the Paediatric Population

Medication errors are therapeutic obstacles that have the potential to threaten the patient outcomes and result in unexpected events. Home medication review (HMR) is a patient-focused process which advocates the optimal and quality use of medication at the patient’s home. It involves a systematic and detailed assessment of the patient’s medication in order to identify and meet the medication-related needs as well as to identify and prevent medication errors. The aim of this study is to identify the medication errors in paediatric population. The paediatric population is a vulnerable part of the community as they should be treated with utmost care due to their differing pharmacokinetic properties. This study is a community based prospective observational study including 150 paediatric participants. A specially designed data collection form will be used to collect the data from the patients who are eligible for the study. Several dosing and administration errors were also found in the study. Several studies have been done under home medication review but only a few with paediatric population is seen. Home medication review can be very useful for the society if it is implemented. It will be helpful to the community in clarifying any misunderstandings regarding the treatment and can lead to better outcomes. Keywords: Home medication review, paediatric population, adherence.

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Assessment of Storage of Medicines at Home using Home Medication Review in Pediatric Population - A Community Based Study

International Journal of Research and Review ◽

10.52403/ijrr.20210720 ◽

2021 ◽

Vol 8 (7) ◽

pp. 149-153

Author(s):

A Ramakrishna Shabaraya ◽

Mohammed Adil Ashraf ◽

Jewel Janice Fernandes

Keyword(s):

Prescription Drugs ◽

Medication Review ◽

Pediatric Population ◽

Public Awareness ◽

Self Medication ◽

Community Based ◽

Expiry Date ◽

Home Medication ◽

Home Medication Review ◽

At Home

People take medicines and vitamins to feel well and to stay well. However, any medicine, including those we buy without a prescription, can cause harm if taken in the wrong way or by the wrong person. That too in case of pediatric population it has to be considered very much.Medicines stored incorrectly at home can pose a health risk. Adult cold medications and antibiotics were the most commonly stored drugs at home, followed by analgesics. The most popular location for storing drugs was the refrigerator (50.6 percent). The majority of people did not read the packaging inserts. Self-medication was reported by a large percentage of homeowners (53.6%), and antibiotics recommended by doctors were frequently reused. There was a link between self-medication and educational attainment, but not with age, sex, marital status, occupation, or insurance type. There is a need for more public awareness and information about the storage and risks of reusing prescription drugs. The study conducted here is a community based prospective study where the paediatric storage of medicines was obtained through home medication review. Out of 150 pediatric participants, it was found that 20.66% of them stored in box or drawer or bag with lock and 79.33% without lock. The checking of expiry date was also enquired and in that those who checked expiry date never was 28%, timely 25% and before administration 47%.Therefore awareness of storage of medicines and looking into the expiry date of medicines is a less focused area among people.Consumers who use medications in the community should be urged to keep them in a way that preserves the medicine's quality while also protecting the consumer, their family, and visitors to their house. Keywords: Pediatric storage of medicines, Home medication review, Expiry date of medicines.

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Engaging hospital patients in the medication reconciliation process using tablet computers

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocy115 ◽

2018 ◽

Vol 25 (11) ◽

pp. 1460-1469 ◽

Cited By ~ 5

Author(s):

Jennifer E Prey ◽

Fernanda Polubriaginof ◽

Lisa V Grossman ◽

Ruth Masterson Creber ◽

Demetra Tsapepas ◽

...

Keyword(s):

Medication Review ◽

Medication Safety ◽

Medication Reconciliation ◽

Adverse Drug Events ◽

Medication List ◽

Medication Discrepancies ◽

Home Medication ◽

Verbal Participation ◽

Hospital Patients ◽

Home Medication Review

Abstract Objective Unintentional medication discrepancies contribute to preventable adverse drug events in patients. Patient engagement in medication safety beyond verbal participation in medication reconciliation is limited. We conducted a pilot study to determine whether patients’ use of an electronic home medication review tool could improve medication safety during hospitalization. Materials and Methods Patients were randomized to use a toolbefore orafter hospital admission medication reconciliation to review and modify their home medication list. We assessed the quantity, potential severity, and potential harm of patients’ and clinicians’ medication changes. We also surveyed clinicians to assess the tool’s usefulness. Results Of 76 patients approached, 65 (86%) participated. Forty-eight (74%) made changes to their home medication list [before: 29 (81%),after: 19 (66%),p = .170].Before group participants identified 57 changes that clinicians subsequently missed on admission medication reconciliation. Thirty-nine (74%) had a significant or greater potential severity, and 19 (36%) had a greater than 50-50 chance of harm.After group patients identified 68 additional changes to their reconciled medication lists. Fifty-one (75%) had a significant or greater potential severity, and 33 (49%) had a greater than 50-50 chance of harm. Clinicians reported believing that the tool would save time, and patients would supply useful information. Discussion The results demonstrate a high willingness of patients to engage in medication reconciliation, and show that patients were able to identify important medication discrepancies and often changes that clinicians missed. Conclusion Engaging patients in admission medication reconciliation using an electronic home medication review tool may improve medication safety during hospitalization.

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Improvement needed in nursing home medication review, say government reports

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/55.4.330 ◽

1998 ◽

Vol 55 (4) ◽

pp. 330-330

Keyword(s):

Nursing Home ◽

Medication Review ◽

Home Medication ◽

Home Medication Review

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Home Medication Review in Improving Patient Medication Adherence and Minimizing Medication Wastage among Type 2 Diabetes Patients

Health Economics & Outcome Research Open Access ◽

10.4172/2471-268x.1000104 ◽

2015 ◽

Vol 01 (01) ◽

Cited By ~ 2

Author(s):

Fahad Saleem ◽

Mohamed Azmi Hassali ◽

Ee Pin Chow

Keyword(s):

Type 2 Diabetes ◽

Medication Adherence ◽

Medication Review ◽

Home Medication ◽

Patient Medication ◽

Medication Wastage ◽

Home Medication Review ◽

Diabetes Patients

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Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department

Healthcare ◽

10.3390/healthcare7040152 ◽

2019 ◽

Vol 7 (4) ◽

pp. 152

Author(s):

Sarah J. Prior ◽

Colleen Cheek ◽

Dong Cheah ◽

Christopher Etherington ◽

Abigail Williams ◽

...

Keyword(s):

Emergency Department ◽

General Practitioner ◽

Medication Errors ◽

Medication Review ◽

Hospital Pharmacist ◽

Transition Of Care ◽

Medication History ◽

Community Based ◽

Accuracy Study ◽

Discrepancy Rate

Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in transition of care from primary care to the emergency department (ED) over a 12-month period. Medication lists in General Practitioner (GP) referrals to a regional ED were examined against a Best Possible Medication History (BPMH) performed by a hospital pharmacist. One hundred and forty-three patients (25%) with computer-generated GP referrals to ED who were subsequently admitted to hospital had a BPMH taken; 135 (94%) of these had at least one medication discrepancy identified with a discrepancy rate of 67.18 discrepancies per 100 medications. Improving medication reconciliation in the community may reduce the burden associated with preventable medication errors. Whether this is achieved by more frequent GP-led medication review or community-based pharmacist medication review may depend on the community and available resources.

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