Table 5

Top suggestions for clinicians when using PharmaNet in conjunction with a medication history
Medication Discrepancy Rate Suggestions
Artificial tears 98.44% (63/64) Be sure to ask about these over the counter medications as they are very rarely found on the Profile.
Insulin 88.57% (93/105) Be sure to confirm the dose. In 30% of Profiles containing Insulin’s the dose being used will differ from that listed on PharmaNet.
Likewise, the “Current” flag will not appear in 30% of Insulin containing Profiles.
Ibuprofen, Acetaminophen and Acetylsalicylic acid including combinations 86.07% (624/725) Be sure to ask about these over the counter medications as they are very rarely found on the Profile.
Warfarin 82.46% (94/114) Expect a dose and/or frequency discrepancy in nearly 60% of PharmaNet Profiles containing Warfarin.
Codeine & Codeine Combinations, Opiate agonists in general 78.43% (80/102), 46.09% (159/345) Do not rely on the presence of the “Current” flag to detect Codeine and Opiate Agonists on the Profile; it is missing in 30% and 20% of cases, respectively.
Discrepancies in frequency are equally as common.
Vitamins, creams and other supplements 77.28% (330/427) Be sure to ask about vitamins and supplements as they are very rarely found on in PharmaNet.
In the case of compounded creams, it may be necessary to contact the compounding pharmacy in order to deduce the ingredients as they are often not provided in PharmaNet.
Salbutamol & Related Drugs 68.15% (92/135) Do not rely on the presence of the “Current” flag to detect Salbutamol and related drugs on the Profile; it is missing in 33% of cases.
Discrepancies in frequency occur in 17% of cases.

Price et al.

Price et al. BMC Medical Informatics and Decision Making 2012 12:42   doi:10.1186/1472-6947-12-42

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