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The average number of medication discrepancies was 2.1 per patient.
The clinical severity of medication discrepancies was independently assessed by two clinical pharmacists blinded to the patient data collection forms; they classified each type of medication discrepancy according to its potential to cause harm, the degree of effect being adapted from the method used by Cornish et al. [ 2].
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The most common classes involved in medication discrepancies were anti-infective, 53 (35.8); cardiovascular, 43 (29); systemic hormonal preparations, 14 (9.5) and anticoagulants, 13 (8.7).
Clearly unintentional medication discrepancies were recorded.
Other types of medication discrepancies are summarised in Table 3.
A total of 300 medication discrepancies were found by the nurses.
One study has reported that unintentional medication discrepancies were more often due to errors in recording medication history than errors reconciling the history with medication orders.
Another notable finding in this evaluation was that while medication discrepancies were prevalent in this population, there was no correlation with readmission.
In the Coleman study, 14.3% of the patients who experienced medication discrepancies were rehospitalized within 30 days and was reported as statically significant.
Such medication discrepancies are either caused by history errors (i.e., errors in determining a patient's preadmission medication list) or reconciliation errors (i.e., errors in orders despite accurate medication histories) [ 3, 4].
While an interim analysis showed that medication discrepancies were reduced in the enhanced group, and the medication list in the primary care physician office was more likely to be up-to-date compared to the minimal or control groups [ 22], this finding did not translate into other findings.
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CEO of Professional Science Editing for Scientists @ prosciediting.com