Best Possible Medication History by a Pharmacy Technician at a Tertiary Care Hospital

Remtulla, Shahileen; Brown, Glen; Frighetto, Luciana

doi:10.4212/cjhp.v62i5.828

Cited by 23 publications

(28 citation statements)

References 5 publications

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“…First, pharmacy technicians identified medication discrepancies in approximately 25% to 50% of patients, illustrating the widespread problem of medication history inaccuracy. 14,19,21,23,25 Second, many studies reported that it took 15 to 30 minutes per patient for pharmacy technicians to collect a medication history. 14,15,[23][24][25] This estimate is consistent with past reports, 11 further demonstrating that medication reconciliation is a resource-intensive activity.…”

Section: Discussionmentioning

confidence: 99%

Expanded Roles for Pharmacy Technicians in the Medication Reconciliation Process: A Qualitative Review

2017

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A ccording to the Institute of Medicine, the average hospitalized patient experiences at least one medication error per day.1 It is further estimated that 67% of admitted patients have at least one error in their medication history, with 11% to 59% of those classified as clinically important.2 At a cost of $2,595 to $4,685 per adverse drug event (ADEs), the total costs attributable to ADEs have been estimated to exceed $5 million annually for a typical teaching hospital. 3Findings from these studies as well as others have led the health care community, professional organizations, and regulatory entities to demand more structured processes for comparing medication histories and resolving discrepancies during care transitions. [4][5][6] A key component to medication reconciliation is the creation of the best possible medication history (BPMH). The BPMH uses information gathered from the community pharmacy, medical record, structured ABSTRACT Background: Collection of a complete and accurate medication history is an essential component of the medication reconciliation process. The role of pharmacy technicians in supporting medication reconciliation has been the subject of recent interest. Purpose: The purpose of this article is to review the existing literature on pharmacy technician involvement in the medication reconciliation process and to summarize outcomes on the quality and accuracy of pharmacy technician-collected medication histories. Method: A literature review was conducted using MEDLINE and Academic Search Premier (1948( -April 2015. Results: Sixteen papers were identified, with 12 containing a formal evaluation of outcomes. Three were purely descriptive, and 9 compared the pharmacy technician's performance to pharmacists, nurses, physicians, and/or interdisciplinary teams. Studies used a variety of endpoints, but they demonstrated similar or improved outcomes by engaging pharmacy technicians. Evidence demonstrates that trained pharmacy technicians are able to gather medication histories with similar completeness and accuracy to other health care professionals. Conclusion:The use of pharmacy technicians may be a viable strategy for developing and expanding medication reconciliation processes with appropriate supervision. Future efforts should focus on evaluating the impact of expanded roles for pharmacy technicians in the health care system; assessing the need for standardization of pharmacy technician education, training, and certification; and obtaining clarification from state pharmacy boards regarding these expanded roles.

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Section: Discussionmentioning

confidence: 99%

Expanded Roles for Pharmacy Technicians in the Medication Reconciliation Process: A Qualitative Review

2017

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“…Studies have consistently shown that incomplete or inaccurate medication histories lead to unintentional medication discrepancies with the potential to cause significant adverse drug events. [1][2][3][4] Despite numerous studies in the adult population documenting the rates, types, and severity of medication discrepancies at hospital admission, similar data for pediatrics are scarce. 1,5,6 Medication errors, particularly dosing errors, are more prevalent among children and have been shown to cause greater harm relative to adults.…”

Section: Introductionmentioning

confidence: 99%

“…21,22 The ability of pharmacy technicians to obtain BPMHs on admission has been demonstrated, with studies showing a reduction in potential medication discrepancies for adult patients in the hospital setting. 2,13,[23][24][25][26][27][28][29][30][31] Despite these findings, there is currently no published literature describing the role of pharmacy technicians in obtaining BPMHs and performing reconciliation, at both the admission and transfer interfaces of care, in a pediatric tertiary care hospital.…”

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confidence: 99%

Medication Reconciliation in Pediatric Cardiology Performed by a Pharmacy Technician: A Prospective Cohort Comparison Study

Chan

Woo

Seto

et al. 2015

CJHP

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Background: Medication reconciliation reduces potential medication discrepancies and adverse drug events. The role of pharmacy technicians in obtaining best possible medication histories (BPMHs) and performing reconciliation at the admission and transfer interfaces of care for pediatric patients has not been described. Objectives: To compare the completeness and accuracy of BPMHs and reconciliation conducted by a pharmacy technician (pilot study) and by nurses and/or pharmacists (baseline). The severity of identified unintentional discrepancies was rated to determine their clinical importance. Methods: This prospective cohort comparison study involved patients up to 18 years of age admitted to and/or transferred between the Cardiology ward and the Cardiac Critical Care Unit of a pediatric tertiary care teaching hospital. A pharmacy resident conducted two 3-week audits: the first to assess the completeness and accuracy of BPMHs and reconciliation performed by nurses and/or pharmacists and the second to assess the completeness and accuracy of BPMHs and reconciliation performed by a pharmacy technician. Results: The total number of patients was 38 in the baseline phase and 46 in the pilot period. There were no statistically significant differences between the baseline and pilot audits in terms of completion of BPMH (82% [28/34]

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“…Néanmoins, cette étude vient augmenter le nombre croissant de données qui appuient le rôle des techniciens en pharmacie dans cet aspect du processus lié au bilan comparatif des médicaments 4,5 . Et pour pousser le sujet un peu plus loin, la chronique « Le pour et le contre » dans ce numéro présente un débat sur l'élargissement du rôle clinique des techniciens en pharmacie dans des secteurs où les pharmaciens sont absents 6,7 .…”

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Duo complice : pharmaciens et techniciens en pharmacie

Chant¹

2010

CJHP

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Best Possible Medication History by a Pharmacy Technician at a Tertiary Care Hospital

Cited by 23 publications

References 5 publications

Expanded Roles for Pharmacy Technicians in the Medication Reconciliation Process: A Qualitative Review

Expanded Roles for Pharmacy Technicians in the Medication Reconciliation Process: A Qualitative Review

Medication Reconciliation in Pediatric Cardiology Performed by a Pharmacy Technician: A Prospective Cohort Comparison Study

Duo complice : pharmaciens et techniciens en pharmacie

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