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Master Thesis

Devenir des prescriptions médicamenteuses habituelles lors d’une hospitalisation

Abstract : Introduction: we led a study comparing usual patient’s treatment to prescription at his arrival in a department of internal medicine. The objective was to study the discrepancies between these two treatments. Method: we included patients from May 2017 to April 2019 admitted to internal medicine, having 3 or more medications and hospitalized more than 48 hours. We examined differences and their intention between the usual treatment and the hospital prescription, then determined the risk incurred according to 3 levels. Results: of 131 patients (74 ± 12 years), there were 9.5 (± 3.7) treatments per patient, mean 1166 lines represent 388 divergences. On counted 56% omissions (n = 217), 18% additions (n = 70), 15% dosage modification (n = 58) and 12% of frequency changes (n = 46). 157 discrepancies were unintentional (UD) which 67% (n = 89) represented a minor risk, 29% (n = 38) significant and 6% (n = 9) major. Intentional discrepancies (ID) included 53% omissions (n = 122), 27% additions (n = 62), 12% frequency change (n = 28) and 8% change in dosage (n = 19). Cardiovascular drugs accounted for 37% (n = 178) of the DNI, neuropsychological system 16% (n = 77), respiratory system 8% (n = 36) and diabetes 6% (n = 27). Discussion: intravenous additions drugs were not considered in the IDs. 9 UDs presented a major risk, but no patient was affected because of their immediate correction. Conclusion: the EMR secures the initial prescription and could avoid 13% of UD, major sources of risk. Notice a referent pharmacy could improve the EMR.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03203891
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Submitted on : Thursday, May 6, 2021 - 4:07:15 PM
Last modification on : Tuesday, September 7, 2021 - 3:23:51 AM

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  • HAL Id : dumas-03203891, version 1

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Charlotte Gérard. Devenir des prescriptions médicamenteuses habituelles lors d’une hospitalisation. Médecine humaine et pathologie. 2019. ⟨dumas-03203891⟩

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