View in EDS

Physician Response to Written Feedback on a Medication Discrepancy Found with Their Elderly Ambulatory Patients.

Saved in:
Bibliographic Details
Title: Physician Response to Written Feedback on a Medication Discrepancy Found with Their Elderly Ambulatory Patients.
Authors: Forjuoh, Samuel N., Reis, Michael D., Couchman, Glen R., Symm, Barbalee, Mason, Saundra, O'Banon, Ricky
Source: Journal of the American Geriatrics Society. Dec2005, Vol. 53 Issue 12, p2173-2177. 5p. 2 Charts.
Subjects: Physicians, Drug administration, Drugs, Outpatient medical care, Patients, Medical care
Abstract: Objectives: To assess physicians' responses to written feedback on medication discrepancies found with their elderly ambulatory patients. Design: Cross-sectional survey. Setting: Four clinics of a large university-affiliated, multispecialty group practice associated with a 186,000-member health maintenance organization. Participants: Patients aged 65 and older (n=202) and their family physicians (n=32). Measurements: Medication discrepancies and physicians' responses to written feedback on letters and adhesive labels containing a list of patients' actual medications. Results: A medication discrepancy was identified with 171 of 202 patients (84.7%). They resulted from patients not taking charted medications (52.9%), patients taking medications that were not charted (34.3%), or difference in dosage and/or schedule (12.8%). The medications involved were mostly complementary/alternative (28.3%), respiratory/allergy (15.1%), and analgesics (14.1%). The majority of physicians reported that the letters (93.8%) and accompanying labels (90.6%) were helpful to them. Half of the physicians reported filing the letters in patients' charts, whereas the other half discarded them. The majority (93.8%) also perceived the labels as an additional benefit to their practice and placed them in patients' charts to be used to correct patients' medications. Receptivity to the feedback was unrelated to physician age group, sex, years in practice, or clinic of practice. Conclusion: Although medication discrepancies are common in elderly ambulatory patients, their family physicians appreciate assistance in correcting these discrepancies, although potential problems, such as cultural or organizational resistance to the open disclosure of medication discrepancies in medical records due to associated legal ramifications, may need to be resolved. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 18942901
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Physician Response to Written Feedback on a Medication Discrepancy Found with Their Elderly Ambulatory Patients.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Forjuoh%2C+Samuel+N%2E%22">Forjuoh, Samuel N.</searchLink><br /><searchLink fieldCode="AR" term="%22Reis%2C+Michael+D%2E%22">Reis, Michael D.</searchLink><br /><searchLink fieldCode="AR" term="%22Couchman%2C+Glen+R%2E%22">Couchman, Glen R.</searchLink><br /><searchLink fieldCode="AR" term="%22Symm%2C+Barbalee%22">Symm, Barbalee</searchLink><br /><searchLink fieldCode="AR" term="%22Mason%2C+Saundra%22">Mason, Saundra</searchLink><br /><searchLink fieldCode="AR" term="%22O'Banon%2C+Ricky%22">O'Banon, Ricky</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Dec2005, Vol. 53 Issue 12, p2173-2177. 5p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+administration%22">Drug administration</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: To assess physicians' responses to written feedback on medication discrepancies found with their elderly ambulatory patients. Design: Cross-sectional survey. Setting: Four clinics of a large university-affiliated, multispecialty group practice associated with a 186,000-member health maintenance organization. Participants: Patients aged 65 and older (n=202) and their family physicians (n=32). Measurements: Medication discrepancies and physicians' responses to written feedback on letters and adhesive labels containing a list of patients' actual medications. Results: A medication discrepancy was identified with 171 of 202 patients (84.7%). They resulted from patients not taking charted medications (52.9%), patients taking medications that were not charted (34.3%), or difference in dosage and/or schedule (12.8%). The medications involved were mostly complementary/alternative (28.3%), respiratory/allergy (15.1%), and analgesics (14.1%). The majority of physicians reported that the letters (93.8%) and accompanying labels (90.6%) were helpful to them. Half of the physicians reported filing the letters in patients' charts, whereas the other half discarded them. The majority (93.8%) also perceived the labels as an additional benefit to their practice and placed them in patients' charts to be used to correct patients' medications. Receptivity to the feedback was unrelated to physician age group, sex, years in practice, or clinic of practice. Conclusion: Although medication discrepancies are common in elderly ambulatory patients, their family physicians appreciate assistance in correcting these discrepancies, although potential problems, such as cultural or organizational resistance to the open disclosure of medication discrepancies in medical records due to associated legal ramifications, may need to be resolved. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=18942901
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/j.1532-5415.2005.00497.x
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 2173
    Subjects:
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Drug administration
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Medical care
        Type: general
    Titles:
      – TitleFull: Physician Response to Written Feedback on a Medication Discrepancy Found with Their Elderly Ambulatory Patients.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Forjuoh, Samuel N.
      – PersonEntity:
          Name:
            NameFull: Reis, Michael D.
      – PersonEntity:
          Name:
            NameFull: Couchman, Glen R.
      – PersonEntity:
          Name:
            NameFull: Symm, Barbalee
      – PersonEntity:
          Name:
            NameFull: Mason, Saundra
      – PersonEntity:
          Name:
            NameFull: O'Banon, Ricky
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2005
              Type: published
              Y: 2005
          Identifiers:
            – Type: issn-print
              Value: 00028614
          Numbering:
            – Type: volume
              Value: 53
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: Journal of the American Geriatrics Society
              Type: main
ResultId 1