title: [Effectiveness of a perioperative chronic medication reconciliation program in patients scheduled for elective surgery].
abstract: OBJECTIVE
  Evaluation of the effectiveness of a perioperative medication reconciliation program in patients scheduled for elective surgery on perioperative medication management protocol adherence.
  
  
  METHODS
  Ambispective cross-cohort study: prospective cohort (Group A), and retrospective control cohort (Group B) without intervention. Forty eight hours before admission a pharmacist generates a proposal on medication active prior to admission to be maintained/discontinued during the perioperative period according to the hospital protocols. The Pharmacy proposal is validated/modified by an anesthesiologist 24h before admission. At the time of admission, after checking with the patient the medication list, the nurse initiates scheduled medication administration pre and postoperatively. The indicator for program effectiveness assessment is the degree of compliance with perioperative medication management protocols at 24, 48 and 72h of admission for intervention and control cohorts.
  
  
  RESULTS
  Five hundred and three patients were included. One thousand two hundred and eleven pharmacy medication management recommendations were performed in Group A (intervention), of which 94.9% agreed with protocol. In Group B (control before program implementation) action taken by physicians agreed with protocol only in 32.4% of all cases.
  
  
  CONCLUSIONS
  The medication reconciliation program significantly increased compliance with the recommendations on chronic medication perioperative management.
authors.affiliation: Servicio de Farmacia, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España. croure@cst.cat
authors.forename: Cristina
authors.initials: C
authors.lastname: Roure Nuez
authors.forename: Manuela
authors.initials: M
authors.lastname: González Navarro
authors.forename: Juan
authors.initials: J
authors.lastname: González Valdivieso
authors.forename: Mireia
authors.initials: M
authors.lastname: Fuster Barrera
authors.forename: Antoni
authors.initials: A
authors.lastname: Broto Sumalla
authors.forename: Jordi
authors.initials: J
authors.lastname: Sarlé Rubí
authors.forename: Xavier
authors.initials: X
authors.lastname: García Eroles
mesh_terms: D000368:Aged; D001363:Awards and Prizes; D015331:Cohort Studies; D003953:Diagnosis-Related Groups; D057915:Drug Substitution; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D055118:Medication Adherence; D008508:Medication Errors / Q000517:prevention & control; D059065:Medication Reconciliation; D008510:Medication Systems, Hospital / Q000458:organization & administration; D008875:Middle Aged; D010348:Patient Care Team; D019990:Perioperative Care; D010601:Pharmacology, Clinical; D010607:Pharmacy Service, Hospital / Q000458:organization & administration; D011183:Postoperative Complications / Q000517:prevention & control; D015397:Program Evaluation; D012958:Societies, Scientific; D013030:Spain