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    Dec
  • Unintended Medication Discrepancies Associated with Reliance: RESULTS part 2

medication reconciliation

Inter-rater reliability in the judging of severity was fair to good34 (к = 0.56, 95% confidence interval 0.42-0.70). A substantial proportion of the medication discrepancies (43%) were rated as having potential for moderate or severe patient discomfort or deterioration (Table 3). Three (23%) of the 13 nonprescription drug discrepancies and 2 (12%) of the 17 prescription drug discrepancies were rated as having the potential for severe patient discomfort or deterioration (Table 4).


Table 3. Severity of Discrepancies Identified

Type
of Discrepancy

Nonprescription Drug

Prescription Sum (% of Total) Drug


Class 1*


10


7


17 (57)


Class 2t


0


8


8 (27)


Class


3


2


5 (17)


Total


13


17


30 (100)


*Discrepancy was unlikely to result in
discomfort or clinical deterioration. tDiscrepancy had potential to
result in moderate discomfort or clinical deterioration. ^Discrepancy
had potential to result in severe discomfort or clinical deterioration.

In the exploratory analysis, an inaccurate PharmaNet profile was associated with a significantly higher overall rate of discrepancy (Table 5). Although no other associations were significant, there was a nonsignificant trend toward fewer discrepancies among patients for whom the chart admission history was considered accurate and for those who used blister- packaging for compliance before admission (Table 5). canadian pharmacy cialis

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