Discrepancies between medication records of anticoagulation clinics and pharmacy records
Publication date
2006-11
Authors
Schalekamp, Tom
Smit, Carolien
van Geest-Daalderop, Johanna H H
de Vries-Goldschmeding, Hanneke
De Boer, Anthonius
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Supervisors
Document Type
Article
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Abstract
PURPOSE: To determine whether there were discrepancies between with coumarin anticoagulants interacting medications recorded in medical files of anticoagulation clinics (AC-records) and computerized records of community pharmacies (pharmacy records). METHODS: A descriptive study was conducted at two Dutch anticoagulation clinics (AC's). Records of with coumarin anticoagulants interacting drugs at the AC's were compared with the pharmacy records. A drug registered in the pharmacy records but not in the AC-records, was recorded as a discrepancy, while a drug registered in AC-records as well as in pharmacy records, was recorded as a match. RESULTS: Of the 117 identified interacting drugs registered in pharmacy records 32 (27%) were not registered in the AC-records. In four out of seven patients of whom the use of a pharmacokinetically interacting drug was not registered in the AC-records, several INR-values exceeded the upper therapeutic range. CONCLUSION: This study demonstrates that a substantial percentage of drugs of which an interaction with coumarin anticoagulants can be expected, is not registered in the medical files of anticoagulation clinics.
Keywords
Aged, Ambulatory Care Facilities, Anticoagulants, Community Pharmacy Services, Drug Interactions, Drug Monitoring, Drug Prescriptions, Drug Therapy, Combination, Drug Utilization, Humans, International Normalized Ratio, Medical Records, Medical Records Systems, Computerized, Middle Aged, Netherlands, Patient Education as Topic, Pharmacoepidemiology, Prospective Studies, Quality Assurance, Health Care, Registries
Citation
Schalekamp, T, Smit, C, van Geest-Daalderop, J H H, de Vries-Goldschmeding, H & de Boer, A 2006, 'Discrepancies between medication records of anticoagulation clinics and pharmacy records', Pharmacoepidemiology and Drug Safety, vol. 15, no. 11, pp. 823-828. https://doi.org/10.1002/pds.1286