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dc.contributor.authorLatimer, Sharonen_US
dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.authorHall, Tonyen_US
dc.contributor.editorProfessor Jo-anne Brienen_US
dc.date.accessioned2017-05-03T14:27:01Z
dc.date.available2017-05-03T14:27:01Z
dc.date.issued2011en_US
dc.date.modified2012-02-10T02:31:19Z
dc.identifier.issn1445937Xen_US
dc.identifier.urihttp://hdl.handle.net/10072/41686
dc.description.abstractBackground: The inconsistent definition of non-therapeutic medication omissions, underreporting, and a poor understanding of their associated factors hamper efforts to improve medication administration practices. Aim: To examine the incidence of non-therapeutic medication omissions among acutely ill medical and surgical adult patients; and to identify the patient-, drug- and system-related predictors of these omissions. Method: A medication chart audit of 288 acutely ill adult medical and surgical patients admitted to 4 target wards (2 surgical and 2 medical) at an Australian hospital. Patients admitted to these wards from December 2008 to November 2009, with at least one regularly prescribed medication, were eligible. The sample was stratified according to gender, season and ward. A medication chart audit identified medication omissions, and data were collected on gender, age, length of stay, comorbidities, medication history and clinical pharmacy review. Results: Of the 288 medication charts audited, 220 (75%) had one or more medication omissions. Of the 15 020 medication administration episodes, there were 1687 omissions, resulting in an omission rate per medication administration episode of 11%. Analgesics and aperients were the most frequently omitted medications, with failure to sign the medication record and patient refusal, the main reasons for omission. Female gender (p < 0.001) and the number of medication administration episodes (p < 0.001) were statistically significant predictors of non-therapeutic medication omissions. Conclusion: The high incidence of medication omissions suggests there is need for an agreed definition of medication omission and its inclusion as a reportable incident. Increasing medication reconciliation via implementation of the Medication Management Plan may also reduce the opportunity for error.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent169793 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherSociety of Hospital Pharmacists of Australia (SHPA)en_US
dc.publisher.placeAustraliaen_US
dc.publisher.urihttp://jppr.shpa.org.au/scripts/cgiip.exe/WService=SHPAJP/ccms.r?PageId=10065en_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom188en_US
dc.relation.ispartofpageto191en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalJournal of Pharmacy Practice and Researchen_US
dc.relation.ispartofvolume41en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.titleNon-Therapeutic Medication Omissions: Incidence and Predictors at an Australian Hospitalen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 2011 Journal of Pharmacy Practice and Research. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.en_US
gro.date.issued2011
gro.hasfulltextFull Text


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