Best Possible Medication History
Conditions
Keywords
Adverse Drug Events (ADEs), Medication Accuracy, Medication Discrepancy
Brief summary
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.
Interventions
OTHERBPMH structured interview
creating a standardized medication list by interviewing patient and/ or relatives according to Best Possible Medication History (BPMH) after patient transfer to medical ward
Sponsors
University Hospital, Basel, Switzerland
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admission to Emergency Department of University Hospital Basel and transfer to medical ward
Exclusion criteria
* medication history taken at Emergency Department of University Hospital Basel not present
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| unintended medication discrepancy | single time point (1 day after admission to hospital) | number of unintended medication discrepancies comparing medication history taken when admitted to emergency department and BPMH after transfer to medical ward |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Categorisation ( Class1, Class2, Class3) for clinical relevance of unintended medication discrepancy | during 7 days after admission to hospital | 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. |
Countries
Switzerland
Outcome results
None listed