Development of a Student-Led Ambulatory Medication Reconciliation Program at an Academic Institution

Miranda, Aimon; Cole, Jaclyn D.; Ruble, Melissa J.; Serag-Bolos, Erini S.

doi:10.1177/0897190017712175

Cited by 4 publications

(10 citation statements)

References 11 publications

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“…Student pharmacists' role in enhancing ambulatory care pharmacy practice Several studies have demonstrated the positive contribution of student pharmacists collecting medication histories, completing medication reconciliation, conducting patient interviews, performing point-of-care testing, and providing immunizations. [17][18][19][20][21][22][23] In an interprofessional setting, the use of fourth-year student pharmacists to obtain medication histories has been employed in a variety of clinics (e.g., internal medicine, cardiology, and pediatrics). 17 In this model, students spent an average of 10 minutes (range 2-30 minutes) collecting medication histories before reporting their findings back to the attending physician.…”

Section: Cppi Practice Forummentioning

confidence: 99%

“…[17][18][19][20][21][22][23] In an interprofessional setting, the use of fourth-year student pharmacists to obtain medication histories has been employed in a variety of clinics (e.g., internal medicine, cardiology, and pediatrics). 17 In this model, students spent an average of 10 minutes (range 2-30 minutes) collecting medication histories before reporting their findings back to the attending physician. 17 Based on the time spent to obtain a full medication history, this model suggested that medical providers saved time by collaborating with student pharmacists, and students benefited by working in an interprofessional, real-word setting.…”

Section: Cppi Practice Forummentioning

confidence: 99%

“…20 Preceptor time may need to be invested up front to ensure students are properly trained; however, as described throughout, when the experiences are wellplanned, there is a potential for a large impact on student growth, patient care, revenue generation, and time-savings later on. [17][18][19][20][21][22][23]32,42,43…”

Section: Barriers To Incorporating Student Pharmacists In Ambulatory Settingsmentioning

confidence: 99%

“… 17 In this model, students spent an average of 10 minutes (range 2-30 minutes) collecting medication histories before reporting their findings back to the attending physician. 17 Based on the time spent to obtain a full medication history, this model suggested that medical providers saved time by collaborating with student pharmacists, and students benefited by working in an interprofessional, real-word setting. 17 Dalal et al .…”

Section: Introductionmentioning

confidence: 99%

“… 17 Based on the time spent to obtain a full medication history, this model suggested that medical providers saved time by collaborating with student pharmacists, and students benefited by working in an interprofessional, real-word setting. 17 Dalal et al . demonstrated that student pharmacists independently performing subjective interviews and obtaining fingerstick international normalized ratios before making therapeutic recommendations under pharmacist oversight provided comparable clinical care to pharmacist-only visits in an outpatient anticoagulation setting.…”

Section: Introductionmentioning

confidence: 99%

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Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Pamulapati

Hess

2020

Pharm Pract (Granada)

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With a primary care physician shortage, utilization of pharmacists in the ambulatory care setting has proven to have positive economic and clinical outcomes for the practice and for patients. To extend the reach of the pharmacists, students may assist with patient care activities, such as medication reconciliation, point-of-care testing, and counseling. Evidence has shown that students benefit in building confidence, as well as improved perceptions of interprofessional care, while positive patient outcomes are maintained. There are many methods for schools to integrate these experiences early into their curriculum, as well as for students to explore opportunities on their own.

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Section: Cppi Practice Forummentioning

confidence: 99%

Section: Cppi Practice Forummentioning

confidence: 99%

Section: Barriers To Incorporating Student Pharmacists In Ambulatory Settingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Pamulapati

Hess

2020

Pharm Pract (Granada)

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Accuracy of best possible medication histories by pharmacy students: an observational study

et al. 2022

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Background Medication reconciliation is an effective strategy to prevent medication errors upon hospital admission and requires obtaining a patient’s best possible mediation history (BPMH). However, obtaining a BPMH is time-consuming and pharmacy students may assist pharmacists in this task. Aim To evaluate the proportion of patients who have an accurate BPMH from the pharmacy student-obtained BPMH compared to the pharmacist-obtained BPMH. Method Twelve final-year pharmacy students were trained to obtain BPMHs upon admission at 2 tertiary hospitals and worked in pairs. Each student pair completed one 8-h shift each week for 8 weeks. Students obtained BPMHs for patients taking 5 or more medications. A pharmacist then independently obtained and checked the student BPMH from the same patient for accuracy. Deviations were determined between student-obtained and pharmacist-obtained BMPH. An accurate BPMH was defined as only having no-or-low risk medication deviations. Results The pharmacy students took BPMHs for 91 patients. Of these, 65 patients (71.4%) had an accurate BPMH. Of the 1170 medications included in patients’ BPMH, 1118 (95.6%) were deemed accurate. For the student-obtained BPMHs, they were more likely to be accurate for patients who were older (OR 1.04; 95% CI 1.03–1.06; p < 0.001), had fewer medications (OR 0.85; 95% CI 0.75–0.97; p = 0.02), and if students used two source types (administration and supplier) to obtain the BPMH (OR 1.65; 95% CI 1.09–2.50; p = 0.02). Conclusion It is suitable for final-year pharmacy students to be incorporated into the BPMHs process and for their BPMHs to be verified for accuracy by a pharmacist.

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Implementation of an interprofessional learner team-based medication reconciliation and review in an Internal Medicine-Pediatrics resident continuity clinic

Cox

Christensen

Mayer

et al. 2020

Journal of Interprofessional Education & Practice

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Development of a Student-Led Ambulatory Medication Reconciliation Program at an Academic Institution

Abstract: Documentation from this innovative program suggests improvement in medication reconciliation and enhanced patient care with limited time required of student pharmacists. A similar program could be developed and utilized at other clinical sites.

Cited by 4 publications

References 11 publications

Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Accuracy of best possible medication histories by pharmacy students: an observational study

Implementation of an interprofessional learner team-based medication reconciliation and review in an Internal Medicine-Pediatrics resident continuity clinic

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