Medication Reconciliation in Canada: Raising the Bar (2012) - CIHI

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Figure A.3 – A profile of medication use in Canadian seniors: Age-sexstandardized rate of chronic Beers drug use among seniorson public drug programs, selected provinces, 2009Alta.11% Sask.14%Man.12%P.E.I.11%N.B.16%N.S.14%Source: National Prescription Drug Utilization Information System Database, Canadian Institute for Health Information.Drugs described as potentially inappropriate for seniors were designated as part of the Beers list. The currentversion is available from the American Geriatrics Journal, available at http://www.americangeriatrics.org/files/documents/beers/2012BeersCriteria_JAGS.pdfIn 2009, three drugs on the Beers list were used on a chronic basis by more than 1% of seniors on public drugprograms: amitriptyline, an antidepressant; conjugated estrogens, used in hormone replacement therapy, andoxybutinin, used to treat incontinence.22 Medication Reconciliation in Canada: Raising the Bar
Figure A.4 – National compliance rates with the Accreditation Canadamedication reconciliation ROPsMedication reconciliation at admissionCompliance (%)Area of Care 2009 2010 2011Ambulatory Care 29 31 49Critical Care 41 46 54Emergency Department 43 48 64Home Care 30 26 47Long-Term Care 67 64 69Medicine 45 47 63Mental Health 33 45 59Obstetric Care 43 44 49Surgical Care 35 54 60Overall 46 47 60Medication reconciliation at transfer or dischargeCompliance (%)Area of Care 2009 2010 2011Ambulatory Care 35 15 42Critical Care 29 26 40Emergency Department 45 41 55Home Care 25 26 41Long-Term Care 65 57 67Medicine 47 32 50Mental Health 33 27 51Obstetric Care 39 30 38Surgical Care 38 35 34Overall 44 36 50Note: Some variation is expected in ROP compliance rates from year to year because different organizations undergo on-sitesurveys each year and due to the ROP changes introduced beginning in 2010. Higher rates in long-term care are expected due tofewer admissions and transfers/discharges.Medication Reconciliation in Canada: Raising the Bar23
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Page 24: ReferencesBaker, G.R., Norton, P.G.

Medication Reconciliation in Canada: Raising the Bar (2012) - CIHI

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