@article{15127,
  author = {Corey D Cicci and Seyram S Fudzie and Stacy Campbell-Bright and Brian P Murray and Kalynn A Northam},
  title = {Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients},
  abstract = {<jats:title>Abstract</jats:title>
               <jats:sec>
                  <jats:title>Purpose</jats:title>
                  <jats:p>Obtaining an accurate medication history from patients on hospital admission is a priority in pharmacy practice. Timely and accurate histories are imperative as they may help determine the etiology of illness and prevent medication errors. We conducted a quality improvement project to assess the accuracy of alternate-source medication histories obtained for critically ill patients who were delirious or mechanically ventilated at the time of intensive care unit admission.</jats:p>
               </jats:sec>
               <jats:sec>
                  <jats:title>Methods</jats:title>
                  <jats:p>Included patients were 18 years of age or older, admitted to the medical intensive care unit from August 2017 through January 2018, and had a medication history obtained from a family member or outpatient pharmacy due to active delirium or mechanical ventilation. Patients were directly interviewed after resolution of delirium or extubation. Discrepancies between the initial and follow-up histories were documented and categorized using the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) Index for Categorizing Medication Errors.</jats:p>
               </jats:sec>
               <jats:sec>
                  <jats:title>Results</jats:title>
                  <jats:p>Forty patients were included. One hundred four discrepancies were documented, with a median of 2 discrepancies per patient. The most common types of discrepancies were addition (51.9%), followed by omission (24.0%). NCC MERP index category A (51%) was the most common error classification identified.</jats:p>
               </jats:sec>
               <jats:sec>
                  <jats:title>Conclusion</jats:title>
                  <jats:p>Discrepancies between initial and follow-up medication histories occurred at a frequent rate in delirious or mechanically ventilated patients; however, these discrepancies tended to be of low risk severity.</jats:p>
               </jats:sec>},
  year = {2021},
  journal = {Am J Health Syst Pharm},
  volume = {78},
  chapter = {736-742},
  pages = {736-742},
  month = {02/2021},
  issn = {1079-2082},
  doi = {10.1093/ajhp/zxab040},
}