scholarly journals The Patient Held Active Record of Medication Status (PHARMS) Feasibility Study

2017 ◽  
Vol 17 (5) ◽  
pp. 28
Author(s):  
Elaine K Walsh ◽  
Laura J Sahm ◽  
Patricia M Kearney ◽  
W Henry Smithson ◽  
Derina Byrne ◽  
...  
2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Elaine Walsh ◽  
Laura J. Sahm ◽  
Patricia M. Kearney ◽  
Henry Smithson ◽  
David M. Kerins ◽  
...  

2019 ◽  
Vol 69 (682) ◽  
pp. e345-e355 ◽  
Author(s):  
Elaine K Walsh ◽  
Laura J Sahm ◽  
Colin P Bradley ◽  
Kieran Dalton ◽  
Kathleen O’Sullivan ◽  
...  

BackgroundMedication errors frequently occur as patients transition between hospital and the community, and may result in patient harm. Novel methods are required to address this issue.AimTo assess the feasibility of introducing an electronic patient-held active record of medication status device (PHARMS) at the primary–secondary care interface at the time of hospital discharge.Design and settingA mixed-methods study (non-randomised controlled intervention, and a process evaluation of qualitative interviews and non-participant observation) among patients >60 years in an urban hospital and general practices in Cork, Ireland.MethodThe number and clinical significance of errors were compared between discharge prescriptions of the intervention (issued with a PHARMS device) and control (usual care, handwritten discharge prescription) groups. Semi-structured interviews were conducted with patients, junior doctors, GPs, and IT professionals, in addition to direct observation of the implementation process.ResultsIn all, 102 patients were included in the final analysis (intervention n = 41, control n = 61). Total error number was lower in the intervention group (median 1, interquartile range [IQR] 0–3) than in the control group (median 8, IQR (4–13.5, P<0.001), with the clinical significance score in the intervention group also being lower than the control group (median 2, IQR 0–4 versus median 11, IQR 5–20, P<0.001). The PHARMS device was found to be technically implementable using existing information technology infrastructure, and acceptable to all key stakeholders.ConclusionThe results suggest that using PHARMS devices within existing systems in general practice and hospitals is feasible and acceptable to both patients and doctors, and may reduce medication error.


1998 ◽  
Author(s):  
J. L. Mitchell ◽  
Winston Bennett ◽  
J. J. Weissmuller ◽  
R. L. Gosc ◽  
Patricia Waldroop ◽  
...  

2019 ◽  
Vol 42 (2) ◽  
pp. 158-168
Author(s):  
Janie Houle ◽  
Stephanie Radziszewski ◽  
Préscilla Labelle ◽  
Simon Coulombe ◽  
Matthew Menear ◽  
...  

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