Next Article in Journal
Comparison of Functional, Structural, and Microvascular Features in Different Stages of Idiopathic Epiretinal Membrane
Previous Article in Journal
Axillary Brachial Plexus Block Compared with Other Regional Anesthesia Techniques in Distal Upper Limb Surgery: A Systematic Review and Meta-Analysis
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 13
Issue 11
10.3390/jcm13113187
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Current Practices of Medication Plans in Austrian Patients Undergoing Coronary Angiography: An In-Depth Analysis

by
Johannes B. Vogel
1,2,
Magdalena Neyer
1,2,
Pascal Elsner
1,2,
Alexander Vonbank
1,2,3,
Thomas Plattner
1,2,3,
Christoph H. Saely
1,2,3,
Andreas Leiherer
1,2,4 and
Heinz Drexel
1,2,4,5,6,*
1
Faculty of Medical Sciences, Private University in the Principality of Liechtenstein (UFL), 9495 Triesen, Liechtenstein
2
Vorarlberg Institute for Vascular Investigation & Treatment (VIVIT), 6800 Feldkirch, Austria
3
Department of Internal Medicine I, Academic Teaching Hospital Feldkirch, 6800 Feldkirch, Austria
4
Medical Central Laboratories, 6800 Feldkirch, Austria
5
Landeskrankenhaus-Betriebsgesellschaft, Academic Teaching Hospital Feldkirch, 6800 Feldkirch, Austria
6
Drexel University College of Medicine, Philadelphia, PA 19129, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(11), 3187; https://doi.org/10.3390/jcm13113187
Submission received: 19 April 2024 / Revised: 19 May 2024 / Accepted: 25 May 2024 / Published: 29 May 2024
(This article belongs to the Section Pharmacology)
Browse Figures
Versions Notes

Abstract

A complete medication plan (MPlan) increases medication safety and adherence and is crucial in care transitions. Countries that implemented a standardized MPlan reported benefits on patients’ understanding and handling of their medication. Austria lacks such a standardization, with no available data on the issue. Objective: This study aimed to investigate the current state of all medication documentations (MDocs) at hospital admission in a population at high risk for polypharmacy in Austria. Methods: We enrolled 512 consecutive patients undergoing elective coronary angiography. Their MDocs and medications were recorded at admission. MDocs were categorized, whereby a MPlan was defined as a tabular list including medication name, dose, route, frequency and patient name. Results: Out of 485 patients, 55.1% had an MDoc (median number of drugs: 6, range 2–17), of whom 24.7% had unstructured documentation, 18.0% physicians’ letters and 54.3% MPlans. Polypharmacy patients did not have a MDoc in 31.3%. Crucial information as the patients’s name or the originator of the MDoc was missing in 31.1% and 20.4%, respectively. Patients with MDoc provided more comprehensive medication information (p = 0.019), although over-the-counter-medication was missing in 94.5% of MDocs. A discrepancy between the MPlan and current medication at admission existed in 64.4%. In total, only 10.7% of our patient cohort presented an MPlan that was in accordance with their current medication. Conclusion: The situation in Austria is far from a standardized MPlan generated in daily routine. Numerous MPlans do not represent the current medication and could pose a potential risk for the effectiveness and safety of pharmacotherapy.
Keywords: medication plan; medication list; medication safety; polypharmacy; transition of care; patient safety; medication reconciliation medication plan; medication list; medication safety; polypharmacy; transition of care; patient safety; medication reconciliation

Share and Cite

MDPI and ACS Style

Vogel, J.B.; Neyer, M.; Elsner, P.; Vonbank, A.; Plattner, T.; Saely, C.H.; Leiherer, A.; Drexel, H. Current Practices of Medication Plans in Austrian Patients Undergoing Coronary Angiography: An In-Depth Analysis. J. Clin. Med. 2024, 13, 3187. https://doi.org/10.3390/jcm13113187

AMA Style

Vogel JB, Neyer M, Elsner P, Vonbank A, Plattner T, Saely CH, Leiherer A, Drexel H. Current Practices of Medication Plans in Austrian Patients Undergoing Coronary Angiography: An In-Depth Analysis. Journal of Clinical Medicine. 2024; 13(11):3187. https://doi.org/10.3390/jcm13113187

Chicago/Turabian Style

Vogel, Johannes B., Magdalena Neyer, Pascal Elsner, Alexander Vonbank, Thomas Plattner, Christoph H. Saely, Andreas Leiherer, and Heinz Drexel. 2024. "Current Practices of Medication Plans in Austrian Patients Undergoing Coronary Angiography: An In-Depth Analysis" Journal of Clinical Medicine 13, no. 11: 3187. https://doi.org/10.3390/jcm13113187

APA Style

Vogel, J. B., Neyer, M., Elsner, P., Vonbank, A., Plattner, T., Saely, C. H., Leiherer, A., & Drexel, H. (2024). Current Practices of Medication Plans in Austrian Patients Undergoing Coronary Angiography: An In-Depth Analysis. Journal of Clinical Medicine, 13(11), 3187. https://doi.org/10.3390/jcm13113187

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop