Effects of Medication Reconciliation Service Provided by Student Pharmacists in a Tertiary Care Emergency Department

Evaluation of the Influence of a Pharmacist-led Patient-Centered Medication Therapy Management and Reconciliation Service in Collaboration with Emergency Department Physicians

“…Based on our analysis, pharmacist provision of a patientcentered MRS in collaboration with ED physicians did not have an overall effect on ED visits. While this finding does not match that of the original pilot study, 17 it should be understood that the pilot study was conducted prior to passage of the Affordable Care Act, which motivated health system initiation of multiple programmatic changes intended to address the issue of 30-day readmission to the ED. However, the problem facing health systems is not simply to decrease ED utilization.…”

“…Furthermore, patients who received patient-centered approaches for medication reconciliation were more likely to report that they knew when to contact their PC physicians. 17 Following the results of the pilot study, we next hypothesized that a pharmacist-led medication therapy management and reconciliation service (MRS) using a patient-centered approach will lead to increased utilization of PC services and a reduction of ED and urgent care (UC) service utilization. The primary purpose of this study was to demonstrate that a pharmacist-led MRS, following a patient-centered approach during an ED encounter, will lead to improvement in the utilization of ED, UC, and PC visits after an ED encounter.…”

Implementation and Development of Emergency Department Pharmacist-Driven Patient-Care Transitional Model: A Discussion of Our Experiences and Processes

“…In 2009, we conducted a pilot study to evaluate the effectiveness of a pharmacist-led implementation of medication reconciliation services and medication therapy management, with student pharmacist assistance. 5 The results of the study revealed a reduction in the frequency of combined ED visit and re-hospitalization among ED patients seen by student pharmacists under the direction of a pharmacist when compared to ED patients who followed the usual care (mean difference in number of visits: 25%, P = 0.047). 5 Although this pilot study was not a randomized clinical trial, the results of the pilot study was consistent with a randomized study published by Gillespie et al in Sweden.…”

Kontribusi Kelengkapan Pengisian Formulir Rekonsiliasi Obat terhadap Penggunaan Obat Rasional pada Pasien Rawat Inap di RSU X Bekasi

“…6 Diperkirakan 40% medication error berkaitan dengan kurangnya rekonsiliasi obat dan 20% diantaranya dapat dihindari. 7 Secara nasional Instalasi Gawat Darurat rumah sakit mempunyai beberapa upaya untuk menyediakan rekonsiliasi obat dan menemukan bahwa rekonsiliasi obat yang baik dapat menghasilkan dokumentasi pengobatan dan alergi pasien yang akurat serta mencegah medication error. 8 Beberapa penelitian menunjuk-kan bahwa peran farmasi klinik dalam rekonsiliasi obat dapat menurunkan medication error, penurunan biaya terkait medication error dan menyediakan dokumentasi pengobatan pasien yang akurat.…”

“…3 Penelitian sebelumnya menemukan dari 481 masalah pengobatan yang terdeteksi, 83,8% diantaranya berpotensi mempunyai dampak klinis secara signifikan. 7 Komisi Akreditasi Rumah Sakit (KARS) juga mengatur kegiatan pengobatan pasien di dalam standar Manajemen dan Penggunaan Obat (MPO), yaitu kebijakan dan prosedur rekonsiliasi obat. 9 Studi Benson dan Snow (2012) menunjukkan bahwa jika rekonsiliasi obat dilakukan pada saat pasien akan dirawat dan pulang rawat, maka diskrepansi pengobatan akan menurun.…”