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. 2018 Sep 26;27(3):137–142. doi: 10.1136/ejhpharm-2018-001613

Table 2.

Medication changes and communication at discharge for medicines that have been newly started, doses changed or stopped

Newly started Dose changed Stopped Unintentionally omitted
Number of patients who had at least one medication change* 1146 336 388 479
Total number of medicines started, dose changed, stopped or unintentionally omitted 3164 477 738 1565
Number of medicines that had a reason documented for the medication change 562 (49%) 186 (39%) 420 (57%) 0
Percentage of patients who had their medication changes actioned on the GP system Yes (53%), no (13%) and no action required (34%). Yes (65%), no (34.5%) and no action required (0.5%). Yes (74.5%), no (21.7%) and data unavailable (3.6%). Not assessed.
Percentage of patients who had their medication changes intentionally disregarded by the GP Yes (16%), no (78.6%) and data unavailable (5.7%). Yes (22.9%),
no (76.5%) and data unavailable (0.6%).
Yes (12.6%), no (83.8%) and data unavailable (3.6%). Not assessed
Percentage of patients who had their medication changes actioned incorrectly by the GP Yes (5.7%), no (78.8%) and data unavailable (1.1%). Yes (8.6%), no (89.9%) and data unavailable (1.5%). Yes (6.7%), no (89.7%) and data unavailable (3.6%). Not assessed

*Numbers exceed 1454 as patients may have had more than one medication change.

GP, general practitioner.