The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study.

Makeham, M; Pont, L; Verdult, C; Hardie, R-A; Raban, MZ; Mitchell, R; Purdy, H; Teichert, M; Ingersoll, A; Westbrook, JI

The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study.

Makeham, M Pont, L

Verdult, C Hardie, R-A Raban, MZ Mitchell, R Purdy, H Teichert, M Ingersoll, A Westbrook, JI

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Int J Med Inform, 2020, 143
Issue Date:: 2020-08-29

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Field	Value	Language
dc.contributor.author	Makeham, M
dc.contributor.author	Pont, L https://orcid.org/0000-0002-8545-716X
dc.contributor.author	Verdult, C
dc.contributor.author	Hardie, R-A
dc.contributor.author	Raban, MZ
dc.contributor.author	Mitchell, R
dc.contributor.author	Purdy, H
dc.contributor.author	Teichert, M
dc.contributor.author	Ingersoll, A
dc.contributor.author	Westbrook, JI
dc.date.accessioned	2020-10-07T04:48:52Z
dc.date.available	2020-08-25
dc.date.available	2020-10-07T04:48:52Z
dc.date.issued	2020-08-29
dc.identifier.citation	Int J Med Inform, 2020, 143
dc.identifier.issn	1386-5056
dc.identifier.issn	1872-8243
dc.identifier.uri	http://hdl.handle.net/10453/143122
dc.description.abstract	BACKGROUND: The lack of interoperable IT systems between residential aged care facilities (RACF) and general practitioners (GP) in primary care settings in Australia introduces the potential for medication discrepancies and other medication errors. The aim of the GRACEMED study is to determine the extent and potential severity of medication discrepancies between general practice and RACFs, and identify factors associated with medication discrepancies. METHODS: A cross sectional study of medication discrepancies between RACF medication orders and GP medication lists was conducted in the Sydney North Health Network, Australia. A random sample of RACF residents was included from practice lists provided by the general practices. RACF medication orders and GP medication lists for the included residents were compared, and medication discrepancies between the two sources were identified and characterised in terms of discrepancy type, potential for harm and associated factors. RESULTS: 31 GPs and 203 residents were included in the study. A total of 1777 discrepancies were identified giving an overall discrepancy rate of 72.6 discrepancies for every 100 medications. Omissions were the most common discrepancy type (35.2%,) followed by dose discrepancies (34.4%) and additions (30.4%). 48.5% of residents had a discrepancy with the potential to result in moderate harm and 9.8% had a discrepancy with the potential for severe harm. Number of medications prescribed was the only factor associated with medication discrepancies. CONCLUSION: Increased use of systems that allow information sharing and improved interoperability of clinical information is urgently needed to address medication safety issues experienced by RACF residents.
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Int J Med Inform
dc.relation.isbasedon	10.1016/j.ijmedinf.2020.104264
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	08 Information and Computing Sciences, 09 Engineering, 11 Medical and Health Sciences
dc.subject.classification	Medical Informatics
dc.title	The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study.
dc.type	Journal Article
utslib.citation.volume	143
utslib.location.activity	Ireland
utslib.for	08 Information and Computing Sciences
utslib.for	09 Engineering
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Pharmacy
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-10-07T04:48:48Z
pubs.publication-status	Published online
pubs.volume	143

Abstract:

BACKGROUND: The lack of interoperable IT systems between residential aged care facilities (RACF) and general practitioners (GP) in primary care settings in Australia introduces the potential for medication discrepancies and other medication errors. The aim of the GRACEMED study is to determine the extent and potential severity of medication discrepancies between general practice and RACFs, and identify factors associated with medication discrepancies. METHODS: A cross sectional study of medication discrepancies between RACF medication orders and GP medication lists was conducted in the Sydney North Health Network, Australia. A random sample of RACF residents was included from practice lists provided by the general practices. RACF medication orders and GP medication lists for the included residents were compared, and medication discrepancies between the two sources were identified and characterised in terms of discrepancy type, potential for harm and associated factors. RESULTS: 31 GPs and 203 residents were included in the study. A total of 1777 discrepancies were identified giving an overall discrepancy rate of 72.6 discrepancies for every 100 medications. Omissions were the most common discrepancy type (35.2%,) followed by dose discrepancies (34.4%) and additions (30.4%). 48.5% of residents had a discrepancy with the potential to result in moderate harm and 9.8% had a discrepancy with the potential for severe harm. Number of medications prescribed was the only factor associated with medication discrepancies. CONCLUSION: Increased use of systems that allow information sharing and improved interoperability of clinical information is urgently needed to address medication safety issues experienced by RACF residents.

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http://hdl.handle.net/10453/143122