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Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review.

Publication ,  Journal Article
Olson, MD; Tong, GL; Steiner, BD; Viera, AJ; Ashkin, E; Newton, WP
Published in: BMC Fam Pract
August 13, 2012

BACKGROUND: Medical records that do not accurately reflect the patient's current medication list are an open invitation to errors and may compromise patient safety. METHODS: This cross-sectional study compares primary care provider (PCP) medication lists and pharmacy claims for 100 patients seen in 8 primary care practices and examines the association of congruence with demographic, clinical, and practice characteristics. Medication list congruence was measured as agreement of pharmacy claims with the entire PCP chart, including current medication list, visit notes, and correspondence sections. RESULTS: Congruence between pharmacy claims and the PCP chart was 65%. Congruence was associated with large chronic disease burden, frequent PCP visits, group practice, and patient age ≥45 years. CONCLUSION: Agreement of medication lists between the PCP chart and pharmacy records is low. Medication documentation was more accurate among patients who have more chronic conditions, those who have frequent PCP visits, those whose practice has multiple providers, and those at least 45 years of age. Improved congruence among patients with multiple chronic conditions and in group practices may reflect more frequent visits and reviews by providers.

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Published In

BMC Fam Pract

DOI

EISSN

1471-2296

Publication Date

August 13, 2012

Volume

13

Start / End Page

83

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Retrospective Studies
  • Public Health
  • Private Practice
  • Primary Health Care
  • Pharmacies
  • North Carolina
  • Middle Aged
  • Medication Reconciliation
 

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Olson, M. D., Tong, G. L., Steiner, B. D., Viera, A. J., Ashkin, E., & Newton, W. P. (2012). Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review. BMC Fam Pract, 13, 83. https://doi.org/10.1186/1471-2296-13-83
Olson, Matthew D., Gretchen L. Tong, Beat D. Steiner, Anthony J. Viera, Evan Ashkin, and Warren P. Newton. “Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review.BMC Fam Pract 13 (August 13, 2012): 83. https://doi.org/10.1186/1471-2296-13-83.
Olson MD, Tong GL, Steiner BD, Viera AJ, Ashkin E, Newton WP. Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review. BMC Fam Pract. 2012 Aug 13;13:83.
Olson, Matthew D., et al. “Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review.BMC Fam Pract, vol. 13, Aug. 2012, p. 83. Pubmed, doi:10.1186/1471-2296-13-83.
Olson MD, Tong GL, Steiner BD, Viera AJ, Ashkin E, Newton WP. Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review. BMC Fam Pract. 2012 Aug 13;13:83.
Journal cover image

Published In

BMC Fam Pract

DOI

EISSN

1471-2296

Publication Date

August 13, 2012

Volume

13

Start / End Page

83

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Retrospective Studies
  • Public Health
  • Private Practice
  • Primary Health Care
  • Pharmacies
  • North Carolina
  • Middle Aged
  • Medication Reconciliation