Contribution of Different Patient Information Sources to Create the Best Possible Medication History

Authors

  • Joelizy Oliveira CAPES Foundation. Ministry of Education. Brasília. Brazil. Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra.
  • Ana Cristina Cabral Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.
  • Marta Lavrador Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.
  • Filipa A. Costa Centro de Investigação Interdisciplinar Egas Moniz. Instituto Universitário Egas Moniz. Monte de Caparica. Grupo de Farmacoepidemiologia. Research Institute for Medicines - iMed. ULisboa. Universidade de Lisboa. Lisboa.
  • Filipe Félix Almeida Serviço de Psiquiatria. Centro Hospitalar e Universitário de Coimbra. Coimbra.
  • António Macedo Serviço de Psiquiatria. Centro Hospitalar e Universitário de Coimbra. Coimbra.
  • Carlos Saraiva Departamento de Psiquiatria. Faculdade de Medicina. Universidade de Coimbra. Coimbra.
  • Margarida Castel-Branco Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.
  • Margarida Caramona Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra.
  • Fernando Fernandez-Llimos Laboratório de Farmacologia. Departamento de Ciências do Medicamento. Universidade do Porto. Porto.
  • Isabel Vitória Figueiredo Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra. https://orcid.org/0000-0003-0127-4575

DOI:

https://doi.org/10.20344/amp.12082

Keywords:

Electronic Health Records, Medical History Taking, Medication Reconciliation

Abstract

Introduction: Obtaining the best possible medication history is the crucial step in medication reconciliation. Our aim was to evaluate the potential contributions of the main data sources available – patient/caregiver, hospital medical records, and shared electronic health records – to obtain an accurate ‘best possible medication history’.
Material and Methods: An observational cross-sectional study was conducted. Adult patients taking at least one medicine were included. Patient interview was performed upon admission and this information was reconciled with hospital medical records and shared electronic health records, assessed retrospectively. Concordance between sources was assessed. In the shared electronic health records, information was collected for four time-periods: the preceding three, six, nine and 12-months. The proportion of omitted data between time-periods was analysed.
Results: A total of 148 patients were admitted, with a mean age of 54.6 ± 16.3 years. A total of 1639 medicines were retrieved. Only 29% were collected simultaneously in the three sources of information, 40% were only obtained in shared electronic health records and only 5% were obtained exclusively from patients. The total number of medicines gathered in shared electronic health records considering the different time frames were 778 (three-months), 1397 (six-months), 1748 (nine-months), and 1933 (12-months).
Discussion: The use of shared electronic health records provides data that were omitted in the other data sources available and retrieving the information at six months is the most efficient procedure to establish the basis of the best possible medication history.
Conclusion: Shared electronic health records should be the preferred source of information to supplement the patient or caregiver interview in order to increase the accuracy of best possible medication history of the patient, particularly if collected within the prior six months.

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Author Biographies

Joelizy Oliveira, CAPES Foundation. Ministry of Education. Brasília. Brazil. Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra

Ana Cristina Cabral, Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra

Marta Lavrador, Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra

Filipa A. Costa, Centro de Investigação Interdisciplinar Egas Moniz. Instituto Universitário Egas Moniz. Monte de Caparica. Grupo de Farmacoepidemiologia. Research Institute for Medicines - iMed. ULisboa. Universidade de Lisboa. Lisboa.

Centro de Investigação Interdisciplinar Egas Moniz, Instituto Universitário Egas Moniz, Caparica

Filipe Félix Almeida, Serviço de Psiquiatria. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Psychiatric Unit, Coimbra Hospital and Universitary Centre, Coimbra

António Macedo, Serviço de Psiquiatria. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Psychiatric Unit, Coimbra Hospital and Universitary Centre, Coimbra

Carlos Saraiva, Departamento de Psiquiatria. Faculdade de Medicina. Universidade de Coimbra. Coimbra.

Faculty of Medicine, University of Coimbra

Margarida Castel-Branco, Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra

Margarida Caramona, Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra

Fernando Fernandez-Llimos, Laboratório de Farmacologia. Departamento de Ciências do Medicamento. Universidade do Porto. Porto.

Department of Social Pharmacy, Faculty of Pharmacy, University of Lisbon

Isabel Vitória Figueiredo, Departamento de Farmacologia e Cuidados Farmacêuticos. Faculdade de Farmácia. Universidade de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Faculdade de Medicina. Universidade de Coimbra. Coimbra.

Pharmacology and Pharmaceutical Care Laboratory, Faculty of Pharmacy, University of Coimbra;

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Published

2020-06-01

How to Cite

1.
Oliveira J, Cabral AC, Lavrador M, Costa FA, Almeida FF, Macedo A, Saraiva C, Castel-Branco M, Caramona M, Fernandez-Llimos F, Figueiredo IV. Contribution of Different Patient Information Sources to Create the Best Possible Medication History. Acta Med Port [Internet]. 2020 Jun. 1 [cited 2024 Mar. 28];33(6):384-9. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12082

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