NDLI: Medication discrepancies among hospitalized patients with hypertension: assessment of prevalence and risk factors

Content Provider	Springer Nature : BioMed Central
Author	Abu Farha, Rana Yousef, Alaa Gharaibeh, Lobna Alkhalaileh, Waed Mukattash, Tareq Alefishat, Eman
Abstract	Background Medication errors remained among the top 10 leading causes of death worldwide. Furthermore, a high percentage of medication errors are classified as medication discrepancies. This study aimed to identify and quantify the different types of unintentional medication discrepancies among hospitalized hypertensive patients; it also explored the predictors of unintentional medication discrepancies among this cohort of patients. Methods This was a prospective observational study undertaken in a large teaching hospital. A convenience sample of adult patients, taking ≥4 regular medications, with a prior history of treated hypertension admitted to a medical or surgical ward were recruited. The best possible medication histories were obtained by hospital pharmacists using at least two information sources. These histories were compared to the admission medication orders to identify any possible unintentional discrepancies. These discrepancies were classified based on their severity. Finally, the different predictors affecting unintentional discrepancies occurrence were recognized. Results A high rate of unintentional medication discrepancies has been found, with approximately 46.7% of the patients had at least one unintentional discrepancy. Regression analysis showed that for every one year of increased age, the number of unintentional discrepancies per patient increased by 0.172 (P = 0.007), and for every additional medication taken prior to hospital admission, the number of discrepancies increased by 0.258 (P= 0.003). While for every additional medication at hospital admission, the number of discrepancies decreased by 0.288 (P < 0.001). Cardiovascular medications, such as diuretics and beta-blockers, were associated with the highest rates of unintentional discrepancies in our study. Medication omission was the most common type of the identified discrepancies, with approximately 46.1% of the identified discrepancies were related to omission. Regarding the clinical significance of the identified discrepancies, around two-third of them were of moderate to high significance (n= 124, 64.2%), which had the potential to cause moderate or severe worsening of the patient´s medical condition. Conclusions Unintentional medication discrepancies are highly prevalent among hypertensive patients. Medication omission was the most commonly encountered discrepancy type. Health institutions should implement appropriate and effective tools and strategies to reduce these medication discrepancies and enhance patient safety at different care transitions. Further studies are needed to assess whether such discrepancies might affect blood pressure control in hypertensive patients.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-021-07349-5.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-021-07349-5
Journal	BMC Health Services Research
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-12-14
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Medication errors Hypertension Hospital Assessment Jordan
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

The prevalence and clinical seriousness of medication discrepancies identified upon hospital admission of pediatric patients

Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia

Unveiling the factors influencing public knowledge and behaviours towards medication errors in Jordan: a cross-sectional study

Evaluation of drug administration errors in a teaching hospital

Medication transcription errors in hospitalized patient settings: a consensual study in the Palestinian nursing practice

Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients

Unintended medication discrepancies and associated factors upon patient admission to the internal medicine wards: identified through medication reconciliation

The impact of a hospital electronic prescribing and medication administration system on medication administration safety: an observational study

Medication discrepancies among elderly patients discharged from a tertiary hospital: prevalence and risk factors.

Medication discrepancies among hospitalized patients with hypertension: assessment of prevalence and risk factors

Similar Documents

The prevalence and clinical seriousness of medication discrepancies identified upon hospital admission of pediatric patients

Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia

Unveiling the factors influencing public knowledge and behaviours towards medication errors in Jordan: a cross-sectional study

Evaluation of drug administration errors in a teaching hospital

Medication transcription errors in hospitalized patient settings: a consensual study in the Palestinian nursing practice

Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients

Unintended medication discrepancies and associated factors upon patient admission to the internal medicine wards: identified through medication reconciliation

The impact of a hospital electronic prescribing and medication administration system on medication administration safety: an observational study

Medication discrepancies among elderly patients discharged from a tertiary hospital: prevalence and risk factors.

Medication discrepancies among hospitalized patients with hypertension: assessment of prevalence and risk factors