Medicines reconciliation in primary care: a study evaluating the quality of medication-related information provided on discharge from secondary care

A collaborative project

 

Setting: Primary Care

 

 

- The objective was to assess the completeness, timeliness and reconciliation in primary care of medication information on hospital discharge summaries.  - Clinical Commissioning Groups (CCGs) pharmacist identified patients retrospectively from GP prescribing system and collected data that were then entered onto an excel spreadsheet and submitted electronically for collation and analysis - 47 CCGs participated and submitted data for 1,454 patients

- Although many discharge summaries were generated (89%) and transferred (72%) electronically, only 43% were received by the GP practice on the same day (range 0-38 days) - Intentional changes were actioned on the GP system within 7 days of the discharge for 42.5% of patients.  - At least one change was actioned incorrectly for 5.5% of patients.

- Medication reconciliation in primary care is as important as on admission to hospital

- There is scope to maximize transfer and action on information to improve safety

Jani Y et al.(2017)

 

No open access version available

Jani Y, Shah C, Hough J. Isqua17-3144Medicines Reconciliation in Primary Care Following Hospitalization. International Journal for Quality in Health Care.
2017;29(suppl_1):39-40. doi:10.1093/intqhc/mzx125.62