Daily Pharmacy News

Get your free subscription started now. Just enter your email address below.

Medication Histories for Asynchronous Virtual Care

Almost all older adults had discrepancies on their medication lists when referred for electronically based care, a study from Ontario shows. “When providing [asynchronous virtual care (AVC)], clinicians should still devote the required time and effort to obtain the BPMH to prevent, identify or manage discrepancies and [adverse drug events (ADEs)] in older adult patients,” the authors conclude.

Charts of older adults taking 3 or more medications and receiving a consult with GeriMedRisk, an interdisciplinary geriatric clinical pharmacology and psychiatry service in Ontario, were reviewed retrospectively. The BPMH identified 256 medication discrepancies in 40 of 42 study participants with a mean of 6.1 errors per patient. “Among patients with medication discrepancies, 30 (75.0%) met our definition of being clinically significant, and 32 (80.0%), 25 (62.5%), and 20 (50.0%) experienced errors of omission, commission, and incorrect dose, respectively,” the authors write.

The researchers conclude, “Our findings add to research describing high rates (10%–87%) of medication discrepancies during hospital transitions, many of which (11%–59%) were clinically relevant. Medication discrepancies have been observed in 74% to over 90% of older adults in primary care settings and up to 90% of older adults admitted to hospital.”