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Table 3 Unintended discrepancies

From: Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals

Variable Frequency (Percentage)
N = 195
Unintended Discrepancies by Type
 Omission 140 (71.8)
 Wrong dose 25 (12.8)
 Wrong medication 14 (7.2)
 Wrong frequency 10 (5.1)
 Duplication 4 (2.1)
 Wrong route 2 (1.0)
Unintended Discrepancies by Medication Route of Administration
 Oral 180 (92.3)
 Inhaled 7 (3.6)
 Subcutaneous 3 (1.5)
 Topical 2 (1.0)
 Intravenous 2 (1.0)
 Ophthalmic 1 (0.5)
Unintended Discrepancies by Class
 1. Dietary supplements (vitamins, minerals, herbal supplements) 54 (27.7)
 2. Medications (prescription and OTCa medications)  
  a. Anti-hyperlipidemic agents 14 (7.2)
  b. Medications for reflux disease 14 (7.2)
  c. Medications for asthma/COPD 14 (7.2)
  d. Beta-blockers 10 (5.1)
  e. Antidepressants/Anxiolytics 10 (5.1)
  f. Oral antidiabetic/Insulin 10 (5.1)
  g. Hormonal therapy 9 (4.6)
  h. Analgesics 9 (4.6)
  i. Medications acting on renin-angiotensin system 6 (3.0)
  j. Antibiotics 4 (2.0)
  k.Thyroid replacement/Anti-thyroid 4 (2.0)
  l. Osteoporosis 4 (2.0)
  m. Antiepileptic agents 3 (1.5)
  n. Other medications (Anti-diarrheal/Laxatives/Antispasmodics; Anti-arrhythmic agents, anti-gout agents, Aspirin, Antianginal, Corticosteroids, Immunosuppressant, H-1 Blockers, Anticoagulant, Ophthalmic lubricant) 30 (15.3)
Proximal Cause of Unintended Discrepancy
 Patient forgetfulness/Lack of knowledge 113 (57.9)
 Clinician lack of knowledge/familiarity with medication 20 (10.3)
 Dosage form confusion 1 (0.5)
 Name similarity 1 (0.5)
 Reason unidentified 60 (30.8)
Potential Severity of Unintended Discrepancy
 Clinically insignificant 122 (62.6)
 Clinically significant 71 (36.4)
 Serious 2 (1.0)
  1. aOTC Over-the-counter medication