PS-104 Medication reconciliation: which selection criteria in psychiatry?

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Abstract

Background

Medication reconciliation (MR) was implemented in a psychiatric unit in January 2016. A test phase of 3 months was conducted by following the Med’Rec1 study indicators. Standard criteria (all incoming patients were eligible for the study) were found unsuitable in psychiatric patients. Selection criteria were determined in order to target the high risk population. A second phase was implemented to assess if the chosen criteria allowed reconciliation of patients at a high risk of medication errors.

Purpose

Are the chosen criteria for the selection of patients relevant for MR?

Material and methods

The study was conducted in the same unit until reaching the same number of reconciled patients (RP) than the test phase. The retained criteria for inclusion (or/and) were:

Material and methods

The selected indicators were those of the test phase.1 The results were compared statistically (χ2 test). Discrepancies (D) corresponded to medication errors (addition, omission, etc). D were found between the list of all medications patients were taking daily and admission prescriptions orders.

Results

Results were preliminary, with 44 RP (average age 45.3 years) for phase II compared with 67 RP (average age 44.9 years) for the test phase.

Conclusion

At this stage of the study, the retained criteria seem to fit our psychiatric unit. A multicentre study could confirm that these criteria are suitable for psychiatry.

References and/or acknowledgements

1. Buiche M. Thesis: Conciliation des Traitements Médicamenteux: Expérimentation du rapport Med’Rec2015 de l’HAS dans un établissement Psychiatrique, 2016.

References and/or acknowledgements

No conflict of interest

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