[Translated article] Medication reconciliation in pediatric hemato-oncologic patients: A multicenter study

Fecha de publicación: 01/11/2023 Fecha Ahead of Print: 01/11/2023

Autores de IIS La Fe

• Ana Alejandra García Robles

  Autor

Participantes ajenos a IIS La Fe

• Vendrell, Margarita Cuervas-mons
• Fuentes, Dolores Pilar Iturgoyen
• Flaque, Miquel Villaronga
• Poy, Maria Jose Cabanas
• Fernandez-llamazares, Cecilia M.
• Del Vayo, Concha Alvarez
• Fernandez, Carmen Gallego
• Roca, Cristina Martinez
• Gago, Yolanda Hernandez
• Corro, Beatriz Garrido

Grupos

• Perinatología

  

  Leader

  Máximo Vento Torres

Abstract

Objective: To determine the prevalence of reconciliation errors on admission to hospital in the pediatric onco-hematological population in order to check whether they are similarly susceptible to these reconciliation errors as adults and to describe the characteristics of the patients who suffer them.Methods: A 12-month prospective, multicentre study of medication reconciliation on admission in the pediatric onco-hematological population to assess the incidence of reconciliation errors and to describe the characteristics of the patients.Results: Medication reconciliation was performed in 157 patients. At least a medication discrepancy was detected in 96 patients. Of the discrepancies detected, 52.1% were related to patient's new clinical situation or by the physician, while 48.9% were determined to be reconciliation errors. The most frequent type of reconciliation error was the ``omission of a medication'', followed by ``a different dose, frequency or route of administration''. A total of 77 pharmaceutical interventions were carried out, 94.2% of which were accepted. In the group of patients with a number equal to or greater than 4 drugs in home treatment, there was a 2.1-fold increase in the probability of suffering a reconciliation error.Conclusions: In order to avoid or reduce errors in one of the critical safety points such as transitions of care, there are measures such as medication reconciliation. In the case of complex chronic pediatric patients, such as onco-hematological patients, the number of drugs as part of home treatment is the variable that has been associated with the presence of medication reconciliation errors on admission to hospital, and the omission of some medication was the main cause of these errors.(c) 2023 Sociedad Espanola de Farmacia Hospitalaria (S.E.F.H). Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Copyright © 2023 Sociedad Española de Farmacia Hospitalaria (S.E.F.H). Publicado por Elsevier España, S.L.U. All rights reserved.

Keywords

• Medication reconciliation; Discrepancy; Medication errors; Patient transfer; Pediatrics; Oncology; Hematology