PMID- 16334075
OWN - NLM
STAT- MEDLINE
DCOM- 20051230
LR  - 20220408
IS  - 1710-2774 (Print)
IS  - 1710-2774 (Linking)
VI  - 8 Spec No
DP  - 2005
TI  - Drug-therapy problems, inconsistencies and omissions identified during a 
      medication reconciliation and seamless care service.
PG  - 65-72
AB  - Seamless care is the desirable continuity of care delivered to a patient in the 
      healthcare system across the spectrum of caregivers and their environments. 
      Medication Reconciliation is one component of seamless pharmaceutical care. A 
      randomized controlled trial, carried out over nine months with a six-month 
      follow-up period, investigated the impact of a pharmacist-directed seamless care 
      service. Intervention patients admitted to one of two general medicine units were 
      subjected to a comprehensive seamless care discharge process as they were 
      discharged from a regional, academically affiliated hospital in Moncton, NB. The 
      number, type and potential clinical impact of drug-therapy problems for seamless 
      monitoring (DTPsm) and drug-therapy inconsistencies and omissions (DTIOs) in 
      hospital discharge medications were measured. A total of 253 patients, with 134 
      patients in the intervention group and 119 in the control group, completed the 
      study. An average of 3.59 DTPsm per intervention patient, with 72.1% of these 
      being scored as having a significant or very significant clinical impact level, 
      were communicated to community pharmacists. Ninety-nine DTIOs were identified and 
      resolved in intervention patients before discharge. A retrospective medical chart 
      review demonstrated that the intervention resolved almost all DTIOs. In 
      conclusion, a pharmacist-directed seamless care service had a significant impact 
      on drug-related clinical outcomes and processes of care.
FAU - Nickerson, Ann
AU  - Nickerson A
AD  - South-East Regional Health Authority, Moncton, NB.
FAU - MacKinnon, Neil J
AU  - MacKinnon NJ
FAU - Roberts, Nancy
AU  - Roberts N
FAU - Saulnier, Lauza
AU  - Saulnier L
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Canada
TA  - Healthc Q
JT  - Healthcare quarterly (Toronto, Ont.)
JID - 101208192
MH  - Aged
MH  - Canada
MH  - *Continuity of Patient Care
MH  - Female
MH  - Humans
MH  - Male
MH  - Medication Errors/*prevention & control
MH  - Medication Systems/*organization & administration
MH  - Middle Aged
MH  - National Health Programs
MH  - New Brunswick
EDAT- 2005/12/13 09:00
MHDA- 2005/12/31 09:00
CRDT- 2005/12/13 09:00
PHST- 2005/12/13 09:00 [pubmed]
PHST- 2005/12/31 09:00 [medline]
PHST- 2005/12/13 09:00 [entrez]
AID - 10.12927/hcq..17667 [doi]
PST - ppublish
SO  - Healthc Q. 2005;8 Spec No:65-72. doi: 10.12927/hcq..17667.