[Erroneous drug charts--a health hazard?].
BACKGROUND
For appropriate medical attention to be given to patients in community care it is essential that the drug charts of the community nurse and the general practitioner's patient records correspond.


METHODS
We compared the drug charts for all 38 patients treated by the community nurse in one geographically defined area whose defined general practitioner worked at a health centre in Trondheim, Norway. We calculated total, proportional and chance corrected agreement (Cohen's kappa) for the number of drugs within these records.


RESULTS
We found that 90% of the drug charts differed by one or more drugs. The general practitioner prescribed 207 drugs of which the patients received only 149, hence 61 prescribed drugs "disappeared". The community nurse administered 201 drugs; this implies that 51 came from other services than the general practitioner. Overall agreement was 53%, chance corrected agreement was kappa = 0.29 (95% confidence interval: 0.12-0.47).


CONCLUSIONS
The number of drugs in the patient records of the community nurse and the general practitioner differ substantially. We find systematic errors in the drug charts and conclude that such errors may be a potential health hazard for the patients.
Jensen
Svein Arthur
SA
Institutt for samfunnsmedidin, Norges tekniskk-natuevitenskkapelige universitet, Medisinsk teknisk forskningssenter, Trondheim. sajensen@broadpark.no
Øien
Torbjørn
T
Jacobsen
Geir
G
Johnsen
Roar
R
D000368:Aged; D003142:Communication; D011307:Drug Prescriptions / Q000592:standards*; D005194:Family Practice / Q000592:standards; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008508:Medication Errors; D008509:Medication Systems / Q000592:standards*; D008875:Middle Aged; D009664:Norway; D019555:Physician-Nurse Relations; D012307:Risk Factors