5PSQ-088 Conciliation from hospital pharmacy external consultations in collaboration with primary care pharmacy

<h3>Background and Importance</h3> Medication conciliation is one of the main strategies to reduce medication errors and increase patient safety. This strategy may be enhanced with the Hospital Care (AH)-Primary Care (PC) collaboration. <h3>Aim and Objectives</h3> Integrate the actions carried out by hospital pharmacy and primary care pharmacy to reduce medication errors and health problems associated to medications among patients who come to Hospital Pharmacy Service to start treatment. <h3>Material and Methods</h3> Prospective observational study where all patients who started hospital-dispensing medication (HDM) between 1 January and 15 September 2024 were included. <h3>The variables recorded were: </h3> age, sex, polymedication (considered as such the prescription of 12 or more drugs), precautionary overrides (PO) and reason. Conciliation of medication that patient had prescribed in an electronic prescription when starting treatment with HDM was carried out following the steps: interview with the patient collecting a list of all the medication he/she takes;. review by the Pharmacy Service, comparing the medication prescribed in an electronic prescription with the one he/she takes and, finally,. resolve the discrepancy (therapeutic duplication, dose errors, lack of adherence) if any: through PO and/or contact with the primary care provider. <h3>Results</h3> During the study period, 132 patients attended the Hospital Pharmacy Service to start HDM. Seventy-eight were women (59%) and 54 men (41%). Forty-one patients (31%) were over 75 years, 28 (21%) were between 61 and 74 years, and 63 patients (48%) were under 60 years. 35 patients (26.5%) were polymedicated. 100% of the prescriptions susceptible to PO were communicated to the prescribing physicians. 60 PO were carried out, 4 (6.7%) due to therapeutic duplication, 37 (61.7%) due to lack of adherence, 7 (11.7%) due to dose errors, 7 (11.7%) due to therapeutic safety problems and 5 (8.3%) due to inadequate treatment. <h3>Conclusion and Relevance</h3> AH-AP cooperation makes it more feasible to reduce preventable adverse events caused by medication; however, innovative solutions are needed to connect/integrate hospital and primary care prescription systems in order to obtain more efficient results that impact on patient safety. <h3>References and/or Acknowledgements</h3> <h3>Conflict of Interest</h3> No conflict of interest