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dc.contributor.authorSund, Janne Kutschera
dc.contributor.authorSletvold, Olav
dc.contributor.authorMellingsæter, Trude Cecilie
dc.contributor.authorHukari, Randi
dc.contributor.authorHole, Torstein
dc.contributor.authorUggen, Per Einar
dc.contributor.authorVadset, Petra Thiemann
dc.contributor.authorSpigset, Olav
dc.date.accessioned2018-01-29T13:02:21Z
dc.date.available2018-01-29T13:02:21Z
dc.date.created2017-10-30T15:42:23Z
dc.date.issued2017
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/11250/2480296
dc.description.abstractObjectives To compare discrepancies in drug histories among patients acutely admitted to different hospital wards, classify the discrepancies according to their potential clinical impact and identify appropriate selection criteria for patients that should be subject to a detailed drug history at admission. Design Cross-sectional study. Setting Two gastrointestinal surgery wards and one geriatric ward at St Olav’s University Hospital in Trondheim and two general internal medicine wards at Ålesund Hospital in Ålesund, Norway. Participants All patients acutely admitted to these wards during a period of three months were asked to participate in the study. A total of 168 patients were included. For each patient, drug information available at admission was compared with information from drug lists obtained from the general practitioner and (if applicable) the home care services/the nursing home. Primary and secondary outcome measures Number of patients with one or more discrepancies in their drug history. Type and clinical impact of the discrepancies found. Selection criteria for patients that should be subject to a detailed drug history. Results In total, 83% had at least one discrepancy in their drug history. Omission of a drug accounted for 72% of the discrepancies, whereas a difference in dosing was the cause of the remaining 28%. 9% of the discrepancies had the potential to cause severe harm or discomfort. We found no significant differences in the number of discrepancies between hospital wards, genders, ages or levels of care. Conclusions This study demonstrates the importance of collecting drug information from all available sources when a patient is admitted to hospital. As we found no significant differences in discrepancies between subgroups of patients, we suggest that medication reconciliation should be performed for all patients.nb_NO
dc.language.isoengnb_NO
dc.publisherBMJ Publishing Groupnb_NO
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.titleDiscrepancies in drug histories at admission to gastrointestinal surgery, internal medicine and geriatric hospital wards in Central Norway: A cross-sectional studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.volume7nb_NO
dc.source.journalBMJ Opennb_NO
dc.source.issue9nb_NO
dc.identifier.doi10.1136/bmjopen-2016-013427
dc.identifier.cristin1509027
dc.description.localcode© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license.nb_NO
cristin.unitcode194,65,15,0
cristin.unitcode194,65,30,0
cristin.unitcode194,65,1,0
cristin.unitnameInstitutt for klinisk og molekylær medisin
cristin.unitnameInstitutt for nevromedisin og bevegelsesvitenskap
cristin.unitnameMH fakultetsadministrasjon
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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