Hur väl stämmer patientens läkemedelslista ”Mina sparade recept” överens med verkligenheten? : En strukturerad intervjustudie på svenska apotek

• Main Author: Mzil, Leila
• Format: Others
• Language: Swedish
• Published: Uppsala universitet, Institutionen för farmaceutisk biovetenskap 2020
• Subjects: medication discrepancies; medication errors; medication reconciliation; prescription list; medication list; läkemedelsavvikelser; felmedicinering; läkemedelsavstämning; receptlista; läkemedelslista; Pharmaceutical Sciences; Farmaceutiska vetenskaper
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-435211

Background: Discrepancies in patient’s medication list can lead to medication errors which is a major cause of both morbidity and mortality today. The aim of the study was to examine the frequency of discrepancies in the Swedish prescription list “My saved prescriptions” regarding noncurrent treatment, incorrect dosages, double prescriptions, and missing prescriptions. Additionally, the purpose was to examine the type of source of information the patients used regarding their drug treatment.   Methods: Collection of data was conducted through interviews at three different pharmacies over a period of four weeks in Stockholm 2020. Patients 18 years or older with at least three prescribed drugs were asked to participate in the study.   Results: Of 157 patients, 74 patients were included. More than 70% of the patients had one or more discrepancies in their prescription list: a noncurrent, a duplicate or an incorrect dosage. 17.6% had at least one missing prescription. About half of the patients had a noncurrent prescription, which was the most common discrepancy among the patients. More than a third, 35.1%, of the patients used the prescription list as a source of information for their drug treatments. Furthermore, 31.1% of the patients used the drug packaging and 17.6% of them only used their memory. 10.8% of the patients used the medication list from healthcare.  Conclusions: The results suggest that discrepancies were quite common in the prescription list, which can increase the risk of medication errors for patients who use the prescription list as a source of information. The implementation of the Swedish National List (NLL) (launching in 2021) will provide the caregivers, pharmacies, and patients with access to the same information about patient’s prescribed drugs. NLL will hopefully reduce the risk of medication errors and it should lead to a reduced necessity of using several different sources for prescribed drugs.