The University of Southampton
University of Southampton Institutional Repository

Drug history taking and the identification of drug related problems in an accident and emergency department

Drug history taking and the identification of drug related problems in an accident and emergency department
Drug history taking and the identification of drug related problems in an accident and emergency department
Objective - To determine the incidence of drug related problems that fail to be noted on casualty cards in patients subsequently admitted, and to compare medication histories as recorded by accident and emergency (A&E) senior house officers (SHOs) and a pharmacist.Methods - An initial retrospective survey of 1459 acute inpatient admissions through A&E over a three month period was followed by a prospective study of 33 elderly patients.
Results - In the retrospective survey, 52 medication related problems were confirmed after examination of the medical records, of which only 16 were identified in A&E. In the prospective study, 125 currently prescribed items were identified by the pharmacist compared to 77 by A&E SHOs; 66% of the missed information was clinically relevant. Of 17 previous adverse drug reactions identified by the pharmacist only six were also recorded by the A&E officer. Only four over the counter medicines were identified by the A&E SHOs compared to 30 by the pharmacist.
Conclusions - More accurate recording of drug history on casualty cards should be undertaken, particularly in respect of over the counter medication and the identification of drug related problems.
drug history taking, elderly patients, drugrelated problems
1351-0622
166-168
Akwagyriam, L. I.
fa35dcb8-18ba-4fdb-99d4-0dc05aef0b8c
Goodyer, L. I.
6854b3bd-d2a7-423c-96b7-771f0414ea9c
Harding, L.
ab07d1ac-bace-4a63-a465-7f9db6d77764
Khakoo, Salim I.
6c16d2f5-ae80-4d9b-9100-6bfb34ad0273
Millington, M.
b8f98349-f4ad-45a1-96a6-75c70aa0cf70
Akwagyriam, L. I.
fa35dcb8-18ba-4fdb-99d4-0dc05aef0b8c
Goodyer, L. I.
6854b3bd-d2a7-423c-96b7-771f0414ea9c
Harding, L.
ab07d1ac-bace-4a63-a465-7f9db6d77764
Khakoo, Salim I.
6c16d2f5-ae80-4d9b-9100-6bfb34ad0273
Millington, M.
b8f98349-f4ad-45a1-96a6-75c70aa0cf70

Akwagyriam, L. I., Goodyer, L. I., Harding, L., Khakoo, Salim I. and Millington, M. (1996) Drug history taking and the identification of drug related problems in an accident and emergency department. Journal of Accident & Emergency Medicine, 13, 166-168. (PMID:8733649)

Record type: Article

Abstract

Objective - To determine the incidence of drug related problems that fail to be noted on casualty cards in patients subsequently admitted, and to compare medication histories as recorded by accident and emergency (A&E) senior house officers (SHOs) and a pharmacist.Methods - An initial retrospective survey of 1459 acute inpatient admissions through A&E over a three month period was followed by a prospective study of 33 elderly patients.
Results - In the retrospective survey, 52 medication related problems were confirmed after examination of the medical records, of which only 16 were identified in A&E. In the prospective study, 125 currently prescribed items were identified by the pharmacist compared to 77 by A&E SHOs; 66% of the missed information was clinically relevant. Of 17 previous adverse drug reactions identified by the pharmacist only six were also recorded by the A&E officer. Only four over the counter medicines were identified by the A&E SHOs compared to 30 by the pharmacist.
Conclusions - More accurate recording of drug history on casualty cards should be undertaken, particularly in respect of over the counter medication and the identification of drug related problems.

This record has no associated files available for download.

More information

Published date: 1996
Keywords: drug history taking, elderly patients, drugrelated problems
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 337658
URI: http://eprints.soton.ac.uk/id/eprint/337658
ISSN: 1351-0622
PURE UUID: 0b150d3b-c46e-45ca-aa0b-8f1373ebf187
ORCID for Salim I. Khakoo: ORCID iD orcid.org/0000-0002-4057-9091

Catalogue record

Date deposited: 08 Jun 2012 13:34
Last modified: 10 May 2023 01:37

Export record

Contributors

Author: L. I. Akwagyriam
Author: L. I. Goodyer
Author: L. Harding
Author: Salim I. Khakoo ORCID iD
Author: M. Millington

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×