Survey of pharmacy involvement in hospital medication reconciliation programs across the United States

Stein, Gregory R; Yudchyts, Anya; Iglin, Mikhail Y; Claudio, Maria M

doi:10.1177/2050312115615147

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…In addition, almost 14% (13.44%) of participants received duplicate therapy as they continued to take the same medicine prescribed in hospital ( Table 7). Duplication of medication may be attributed to the miscommunication between staff and participants, with many patients in this study unaware of which medicines were being prescribed or given to them, or they were unaware when their medicines were temporarily stopped; similar to other studies (75)(76)(77)(78).…”

Section: Discussionsupporting

confidence: 62%

“…This is a concern as the lack of patient education, communication, and transcribing home medication to prescription charts may result in treatment failure, poor prognosis and increased hospital stay (72). Furthermore, inadequate knowledge, insufficient training and increased workload of staff have also been listed as major causes of medicines discrepancies (76)(77)(78). Since physicians, nurses and pharmacists do play key roles in medication management, including ordering, monitoring and educating patients during hospitalisation, and at discharge, a multidisciplinary team approach is considered fundamental to enhance medication reconciliation, especially with errors often originating in medication histories (79).…”

Section: Discussionmentioning

confidence: 99%

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Creating and evaluating an opportunity for medication reconciliation in the adult population of South Africa to improve patient care

et al. 2018

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Creating and evaluating an opportunity for medication reconciliation in the adult population of South Africa to improve patient care

et al. 2018

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“…Pharmacists are also responsible for providing the quality of medication of use and saving hospital costs by performing medication reconciliations. 5 A systematic review by Skjot-Arkil, et al (2021) concluded that interventions led by pharmacists in the hospital setting improved the quality of medication use, which led to a reduction in hospital visits and length of stay. 6 There may be variation in other healthcare professionals' perceptions of pharmacists.…”

Section: Introductionmentioning

confidence: 99%

Do Future Physicians Know a Clinical Hospital Pharmacist's Capabilities?

Haylee Moser,

Stephanie Tubb

2023

Innov Pharm

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Background: Physicians appear to positively perceive pharmacists, but the perception of future physicians on clinical hospital pharmacists is largely unknown. By identifying medical students’ perceptions, educational efforts could be developed to target areas for improvement and allow for optimal utilization of pharmacists. Objective: To identify medical students’ perception of clinical pharmacists in the hospital setting. Methods: A 27-item survey that analyzed medical students’ knowledge and attitudes toward clinical hospital pharmacists was sent via email to students at eight medical schools in Ohio. Survey items assessed participant’s past interactions with a pharmacist (5 items), understanding of clinical pharmacists’ roles and responsibilities (7 items), and current perceptions of clinical pharmacists (7 items). Quantitative data were analyzed using descriptive statistics and qualitative data using thematic analysis. Results: There were 124 participants across 3 medical schools. Students expressed that clinical pharmacists are essential on the healthcare team to support and maintain a patient’s health (Mean ± SD = 4.47 ± 0.829). They were neutral or disagreed that clinical pharmacists are qualified to diagnose a variety of conditions (Mean ± SD = 2.62 ± 1.017) and were neutral or agreed that a clinical pharmacist’s role differs from a community pharmacist’s role (Mean ± SD = 3.95 ± 0.659). In the qualitative analysis, medical students reported that they perceive clinical pharmacists to be medication experts (N=28, 66.7%), important members of the healthcare team (N=23, 54.8%), and useful resources for answering drug-related questions (N=15, 35.7%). Conclusions: Medical students reflected a positive attitude toward clinical pharmacists and affirmed the need for pharmacists to provide medication expertise in the hospital setting. However, many medical students were not fully aware of the responsibilities that a clinical pharmacist provides and could benefit from education on the scope of a pharmacist’s practice.

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Implementation and sustainability of a medication reconciliation toolkit: A mixed methods evaluation

Stolldorf

Mixon

Auerbach

et al. 2020

American Journal of Health-System Pharmacy

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Abstract Purpose MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) provided participating hospitals with a toolkit to assist in developing robust medication reconciliation programs. Here we describe hospitals’ implementation of the MARQUIS toolkit, barriers and facilitators, and important factors that may enhance the spread and sustainability of the toolkit. Methods We used a mixed methods, quantitative-qualitative study design. We invited site leaders of the 5 hospitals that participated in MARQUIS to complete a Web-based survey and phone interview. The Consolidated Framework for Implementation Research guided question development. We analyzed the collected data using descriptive statistics (for survey responses) and thematic content analysis (for interview results). Results Site leaders from each MARQUIS hospital participated. They reported that MARQUIS toolkit implementation augmented their hospitals’ existing but limited medication reconciliation practices. Survey results indicated executive leadership support for toolkit implementation but limited institutional support for hiring staff (reported by 20% of respondents) and/or budgetary support for implementation (reported by 60% of respondents). Most participating hospitals (80%) shifted staff responsibilities to support medication reconciliation. Interview findings showed that inner setting (ie, organizational setting) and process factors (eg, designation of champions) both inhibited and facilitated implementation. Hospitals adopted a variety of toolkit interventions (eg, discharge medication counseling) using a range of implementation strategies, including development of educational tools and tip sheets for staff members and electronic health record templates. Conclusion Despite limited institutional support, hospitals can successfully implement, spread, and sustain the MARQUIS toolkit by shifting staff responsibilities, adding pharmacy staff, and using a variety of strategies to facilitate implementation. Although leadership support and resources for data collection and dissemination facilitated implementation, limited staff buy-in and competing priorities may hinder implementation.

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Survey of pharmacy involvement in hospital medication reconciliation programs across the United States

Cited by 3 publications

References 11 publications

Creating and evaluating an opportunity for medication reconciliation in the adult population of South Africa to improve patient care

Creating and evaluating an opportunity for medication reconciliation in the adult population of South Africa to improve patient care

Do Future Physicians Know a Clinical Hospital Pharmacist's Capabilities?

Implementation and sustainability of a medication reconciliation toolkit: A mixed methods evaluation

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