Interest of the Electronic Pharmaceutical Record as a Source for Medication Reconciliation at Hospital Admission in an Infectious Diseases Department
Created by the French law of 30 January 2007, the Electronic Pharmaceutical Record (EPR) is a tool mainly used by pharmacists; it allows collecting data (medications delivered by a pharmacy) on patient’s social insurance card, with secured access by pharmacists. In this study we evaluate the interest of the EPR in the process of medication reconciliation. During 3 months, enrolled patients were divided into 2 groups: group "EPR" if EPR was available, and group "no EPR" otherwise. 40 patients were included. Among them, 20 had an EPR. A total 23 unintentional discrepancies were detected. In the "no EPR" group 2 unintentional discrepancies were detected. In the "EPR" group, 21 unintentional discrepancies were detected (91% of total UD) including 20 detected by EPR associate or not with another source. Among these 20 UD, 10 would not have been detected in the absence of EPR (50%). EPR represents a very interesting source to detect medication errors, especially for patients for which limited information is available about their treatment.