Medications and patient safety in the trauma setting: a systematic review
Abstract Background Medication errors account for the most common adverse events and a significant cause of mortality in the USA. The Joint Commission has required medication reconciliation since 2006. We aimed to survey the literature and determine the challenges and effectiveness of medication rec...
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Language: | English |
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BMC
2019-02-01
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Series: | World Journal of Emergency Surgery |
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Online Access: | http://link.springer.com/article/10.1186/s13017-019-0225-6 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jonathan H. DeAntonio Tammy Nguyen Gregory Chenault Michel B. Aboutanos Rahul J. Anand Paula Ferrada Stephanie Goldberg Stefan W. Leichtle Levi D. Procter Edgar B. Rodas Alan P. Rossi James F. Whelan V. Ramana Feeser Michael J. Vitto Beth Broering Sarah Hobgood Martin Mangino Dayanjan S. Wijesinghe Sudha Jayaraman |
spellingShingle |
Jonathan H. DeAntonio Tammy Nguyen Gregory Chenault Michel B. Aboutanos Rahul J. Anand Paula Ferrada Stephanie Goldberg Stefan W. Leichtle Levi D. Procter Edgar B. Rodas Alan P. Rossi James F. Whelan V. Ramana Feeser Michael J. Vitto Beth Broering Sarah Hobgood Martin Mangino Dayanjan S. Wijesinghe Sudha Jayaraman Medications and patient safety in the trauma setting: a systematic review World Journal of Emergency Surgery Trauma medication reconciliation Med rec Medication error |
author_facet |
Jonathan H. DeAntonio Tammy Nguyen Gregory Chenault Michel B. Aboutanos Rahul J. Anand Paula Ferrada Stephanie Goldberg Stefan W. Leichtle Levi D. Procter Edgar B. Rodas Alan P. Rossi James F. Whelan V. Ramana Feeser Michael J. Vitto Beth Broering Sarah Hobgood Martin Mangino Dayanjan S. Wijesinghe Sudha Jayaraman |
author_sort |
Jonathan H. DeAntonio |
title |
Medications and patient safety in the trauma setting: a systematic review |
title_short |
Medications and patient safety in the trauma setting: a systematic review |
title_full |
Medications and patient safety in the trauma setting: a systematic review |
title_fullStr |
Medications and patient safety in the trauma setting: a systematic review |
title_full_unstemmed |
Medications and patient safety in the trauma setting: a systematic review |
title_sort |
medications and patient safety in the trauma setting: a systematic review |
publisher |
BMC |
series |
World Journal of Emergency Surgery |
issn |
1749-7922 |
publishDate |
2019-02-01 |
description |
Abstract Background Medication errors account for the most common adverse events and a significant cause of mortality in the USA. The Joint Commission has required medication reconciliation since 2006. We aimed to survey the literature and determine the challenges and effectiveness of medication reconciliation in the trauma patient population. Materials and methods We conducted a systematic review of the literature to determine the effectiveness of medication reconciliation in trauma patients. English language articles were retrieved from PubMed/Medline, CINAHL, and Cochrane Review databases with search terms “trauma OR injury, AND medication reconciliation OR med rec OR med rek, AND effectiveness OR errors OR intervention OR improvements.” Results The search resulted in 82 articles. After screening for relevance and duplicates, the 43 remaining were further reviewed, and only four articles, which presented results on medication reconciliation in 3041 trauma patients, were included. Two were retrospective and two were prospective. Two showed only 4% accuracy at time of admission with 48% of medication reconciliations having at least one medication discrepancy. There were major differences across the studies prohibiting comparative statistical analysis. Conclusions Trauma medication reconciliation is important because of the potential for adverse outcomes given the emergent nature of the illness. The few articles published at this time on medication reconciliation in trauma suggest poor accuracy. Numerous strategies have been implemented in general medicine to improve its accuracy, but these have not yet been studied in trauma. This topic is an important but unrecognized area of research in this field. |
topic |
Trauma medication reconciliation Med rec Medication error |
url |
http://link.springer.com/article/10.1186/s13017-019-0225-6 |
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doaj-86a2491a37a841a78bff8275b00799072020-11-25T02:05:50ZengBMCWorld Journal of Emergency Surgery1749-79222019-02-011411710.1186/s13017-019-0225-6Medications and patient safety in the trauma setting: a systematic reviewJonathan H. DeAntonio0Tammy Nguyen1Gregory Chenault2Michel B. Aboutanos3Rahul J. Anand4Paula Ferrada5Stephanie Goldberg6Stefan W. Leichtle7Levi D. Procter8Edgar B. Rodas9Alan P. Rossi10James F. Whelan11V. Ramana Feeser12Michael J. Vitto13Beth Broering14Sarah Hobgood15Martin Mangino16Dayanjan S. Wijesinghe17Sudha Jayaraman18Division of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDepartment of Emergency Medicine, Virginia Commonwealth University, VCU HealthVCU Health Department of Pharmacy Services, Critical CareDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDepartment of Emergency Medicine, Virginia Commonwealth University, VCU HealthDepartment of Emergency Medicine, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDivision of Geriatrics, Department of Internal Medicine, Virginia Commonwealth University, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthDepartment of Pharmacotherapy and Outcomes Sciences and Laboratory of Pharmacometabolomics and Companion Diagnostics, Virginia Commonwealth University School of Pharmacy, VCU HealthDivision of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, VCU HealthAbstract Background Medication errors account for the most common adverse events and a significant cause of mortality in the USA. The Joint Commission has required medication reconciliation since 2006. We aimed to survey the literature and determine the challenges and effectiveness of medication reconciliation in the trauma patient population. Materials and methods We conducted a systematic review of the literature to determine the effectiveness of medication reconciliation in trauma patients. English language articles were retrieved from PubMed/Medline, CINAHL, and Cochrane Review databases with search terms “trauma OR injury, AND medication reconciliation OR med rec OR med rek, AND effectiveness OR errors OR intervention OR improvements.” Results The search resulted in 82 articles. After screening for relevance and duplicates, the 43 remaining were further reviewed, and only four articles, which presented results on medication reconciliation in 3041 trauma patients, were included. Two were retrospective and two were prospective. Two showed only 4% accuracy at time of admission with 48% of medication reconciliations having at least one medication discrepancy. There were major differences across the studies prohibiting comparative statistical analysis. Conclusions Trauma medication reconciliation is important because of the potential for adverse outcomes given the emergent nature of the illness. The few articles published at this time on medication reconciliation in trauma suggest poor accuracy. Numerous strategies have been implemented in general medicine to improve its accuracy, but these have not yet been studied in trauma. This topic is an important but unrecognized area of research in this field.http://link.springer.com/article/10.1186/s13017-019-0225-6Trauma medication reconciliationMed recMedication error |