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Yet, one study at two large urban academic hospitals found that general medical inpatients averaged more than one potentially harmful discrepancy in either admission or discharge medication orders despite documented completion of medication reconciliation [ 14].
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Potentially harmful medication discrepancies averages 0.45 per patient and varies by site from 0.13 to 0.82 per patient.
The number of potentially harmful medication discrepancies averages 0.45 per patient and varies by site from 0.13 to 0.82 per patient.
In comparison, in prior studies by Schnipper et al. potentially harmful medication discrepancies began at 1.44 per patient, then decreased to 1.05 and then 0.32 per patient with successive versions of medication reconciliation interventions [ 27, 35].
However, based on prior research, we assumed that the number of medication discrepancies would follow a Poisson distribution and that, in the absence of an intervention, each hospitalized patient would have an average of 1.5 potentially harmful medication discrepancies in admission and discharge orders combined [ 27].
Potential adverse drug events (PADE) are defined as being potentially harmful, unintentional medication discrepancies [ 1].
Potential adverse drug events (PADEs) are defined as being potentially harmful unintentional medication discrepancies.
The goals of the Multi-Center Medicatooperationalizeion Quality Improvement Study (MARQUIS) are to operationalize best practices for inpatient medication reconciliation, test their effect on potentially harmful unintentional medication discrepancies, and understand barriers and facilitators of successful implementation.
The primary outcome is the number of potentially harmful unintentional medication discrepancies per patient, determined by a trained on-site pharmacist taking a "gold standard" medication history on a random sample of patients (20 25 per month).
Each hospital has collected baseline data on the primary outcome: the number of potentially harmful unintentional medication discrepancies per patient, as determined by a trained on-site pharmacist taking a "gold standard" medication history.
Contrary to some past research, time-varying discrepancies in levels of harmful alcohol use between men and women were related to a lower risk of psychological IPV for women and physical IPV for both genders.
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