This pilot project investigates the use of a structured medication history (Best Possible Medication History, BPMH) in patients (primarily admitted at the emergency department of University Hospital Basel) after transfer to a medical ward. Unintentional medication discrepancies are analyzed comparing outpatient and inpatient medication therapy.
Study Type
OBSERVATIONAL
Enrollment
160
creating a standardized medication list by interviewing patient and/ or relatives according to Best Possible Medication History (BPMH) after patient transfer to medical ward
Spitalpharmazie Universitätsspital Basel (USB)
Basel, Switzerland
unintended medication discrepancy
number of unintended medication discrepancies comparing medication history taken when admitted to emergency department and BPMH after transfer to medical ward
Time frame: single time point (1 day after admission to hospital)
Categorisation ( Class1, Class2, Class3) for clinical relevance of unintended medication discrepancy
expert panel classifies each unintended medication discrepancy in 1 of 3 classes for its potential to cause patient harm. Class 1 discrepancies are those unlikely to cause patient discomfort or clinical deterioration. Class 2 discrepancies could potentially result in moderate discomfort or clinical deterioration. Class 3 discrepancies could potentially result in severe discomfort or clinical deterioration.
Time frame: during 7 days after admission to hospital
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