• Emergencias · Jun 2020

    Observational Study

    Seriousness of medication reconciliation errors in patients of advanced age in the emergency department.

    • Irene Taladriz-Sender, María Muñoz-García, Beatriz Montero-Errasquin, Beatriz Montero-Llorente, Noelia Espadas-Hervás, and Eva Delgado-Silveira.
    • Servicio de Farmacia, Hospital Universitario Ramón y Cajal, Madrid, España.
    • Emergencias. 2020 Jun 1; 32 (3): 188-190.

    ObjectivesTo analyze the seriousness of medication reconciliation errors (MREs) in the treatment of older patients admitted to an emergency department's acute geriatric unit. To identify and describe discrepancies, including the drug groups involved, and to explore risk factors.Material And MethodsProspective, observational 6-month study. A pharmacist recorded medications in each patient's history and compared the patient's usual treatment to the regimen prescribed in the emergency department; discrepancies were flagged for evaluation as possible MREs. A geriatric medicine specialist evaluated MRE seriousness.ResultsThree hundred twenty-eight discrepancies were detected (93.8% of the total of 351 patients); 151 patients (43.02%) had at least 1 MRE. Three hundred MREs were identified, 248 (82.7%) reached the patient, and 27 (9%) caused reversible injury. No errors led to prolonged injury or death.ConclusionMREs were common but not serious, and the injuries caused were reversible.

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