Assessing accuracy of an electronic provincial medication repository

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dc.contributor.authorPrice, Morgan
dc.contributor.authorBowen, Mike
dc.contributor.authorLau, Francie
dc.contributor.authorKitson, Nicole
dc.contributor.authorBardal, Stan
dc.date.accessioned2013-10-07T18:54:36Z
dc.date.available2013-10-07T18:54:36Z
dc.date.copyright2012en_US
dc.date.issued2012-05-23
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: Jurisdictional drug information systems are being implemented in many regions around the world. British Columbia, Canada has had a provincial medication dispensing record, PharmaNet, system since 1995. Little is known about how accurately PharmaNet reflects actual medication usage. Methods: This prospective, multi-centre study compared pharmacist collected Best Possible Medication Histories (BPMH) to PharmaNet profiles to assess accuracy of the PharmaNet profiles for patients receiving a BPMH as part of clinical care. A review panel examined the anonymized BPMHs and discrepancies to estimate clinical significance of discrepancies. Results: 16% of medication profiles were accurate, with 48% of the discrepant profiles considered potentially clinically significant by the clinical review panel. Cardiac medications tended to be more accurate (e.g. ramipril was accurate >90% of the time), while insulin, warfarin, salbutamol and pain relief medications were often inaccurate (80–85% of the time). 1215 sequential BPMHs were collected and reviewed for this study. Conclusions: The PharmaNet medication repository has a low accuracy and should be used in conjunction with other sources for medication histories for clinical or research purposes. This finding is consistent with other, smaller medication repository accuracy studies in other jurisdictions. Our study highlights specific medications that tend to be lower in accuracy.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.identifier.citationPrice et al.: Assessing accuracy of an electronic provincial medication repository. BMC Medical Informatics and Decision Making 2012 12:42.en_US
dc.identifier.urihttp://www.biomedcentral.com/1472-6947/12/42
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6947-12-42
dc.identifier.urihttp://hdl.handle.net/1828/4986
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.subject.departmentSchool of Health Information Science
dc.subject.departmentDivision of Medical Sciences
dc.subject.departmentSchool of Medical Sciences
dc.titleAssessing accuracy of an electronic provincial medication repositoryen_US
dc.typeArticleen_US

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