Table 3

Summary of prospective studies of incompleteness of medication histories obtained at the ED

StudySample sizeDesignResults
Gleason et al1204Definition of medication history:
prescription medication, over-the-counter drugs, supplements
Definition of discrepancy:
drug omission and commission, incorrectness of dose, frequency and route of administration
Comparison: pharmacist↔physician
48% of the patients who were admitted directly from GPs' offices and from other institutions had at least one discrepancy
Carter et al7252Definition of medication history:
prescription medication
Definition of discrepancy:
(a) drug omission
(b) omission of dose, frequency and route of administration
Comparison: pharmacist↔trauma team (physicians, nurses and medical students)
(a) 25% of home medications were not identified
(b) 78% of the documented home medications were incomplete
Cohen et al898Definition of medication history:
prescription medication, over-the-counter drugs, supplements
Definition of discrepancy:
drug omission
Comparison: pharmacist↔physician
36.5% median discordance within patients older than 65 years, without cognitive impairment or those who were accompanied by a caregiver
Miller et at11234Definition of medication history:
prescription medication
Definition of discrepancy:
omission or incorrectness of medication, dose, frequency and route of administration
Comparison: pharmacist↔trauma team (physicians and nurses)
For physicians, 96% of the patients had at least one discrepancy
For nurses, 89% of the patients had at least one discrepancy
Shepherd et al121465Definition of medication history:
prescription medication, over-the-counter drugs, supplements
Definition of discrepancy:
drug omission, drug commission
Comparison: pharmacist↔triage nurse
48% of the patients had at least one discrepancy