Team-based approach to improving medication reconciliation rates in family medicine residency clinics

Harper, Peter; Schafer, Katherine Montag; Riper, Kristi Van; Justesen, Kathryn; Ramer, Timothy J; Wicks, Cherilyn; Oyenuga, Abayomi; Budd, Jennifer

doi:10.1016/j.japh.2020.08.007

Cited by 1 publication

(2 citation statements)

References 22 publications

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“…Team‐based care approaches have been shown to improve rates of physician‐documented medication reconciliation 31 . In our care context, medical assistants most often perform intake in the ambulatory setting, including vital signs and initial medication reviews.…”

Section: Resultsmentioning

confidence: 99%

“…Team-based care approaches have been shown to improve rates of physician-documented medication reconciliation. 31 In our care context, medical assistants most often perform intake in the ambulatory setting, including vital signs and initial medication reviews. Several SIS participants shared that medical assistants can match medications on medication lists but may need more training to improve the accuracy of the list and to understand when to triage discrepancies or other concerns to the provider or pharmacist.…”

Section: Prioritized Solution C: Train Older Adults On Medication Rec...mentioning

confidence: 99%

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Participatory research to improve medication reconciliation for older adults in the community

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Kiely

Gierisch

et al. 2022

J American Geriatrics Society

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Introduction Medication reconciliation, a technique that assists in aligning a care team's understanding of an individual's true medication regimen, is vital to optimize medication use and prevent medication errors. Historically, most medication reconciliation research has focused on institutional settings and transitional care, with comparatively little attention given to medication reconciliation in community settings. To optimize medication reconciliation for community‐dwelling older adults, healthcare professionals and older adults must be engaged in co‐designing processes that create sustainable approaches. Methods Academic researchers, older adults, and community‐ and health system‐based healthcare professionals engaged in a participatory process to better understand medication reconciliation barriers and co‐design solutions. The initiative consisted of two participatory research approaches: (1) Sparks Innovation Studios, which synthesized professional expertise and opinions, and (2) a Community Consultation Studio with older adults. Input from both groups informed a list of possible solutions and these were ranked based on evaluative criteria of feasibility, person‐centeredness, equity, and sustainability. Results Sparks Innovation Studios identified a lack of ownership, fragmented healthcare systems, and time constraints as the leading barriers to medication reconciliation. The Community Consultation Studio revealed that older adults often feel dismissed in medical encounters and perceive poor communication with and among providers. The Community Consultation Studio and Sparks Innovation Studios resulted in four highly‐ranked solutions to improve medication reconciliation: (1) support for older adults to improve health literacy and ownership; (2) ensuring medication indications are included on prescription labels; (3) trainings and incentives for front‐line staff in clinic settings to become champions for medication reconciliation; and (4) electronic health record improvements that simplify active medication lists. Conclusion Engaging community representatives with academic partners in the research process enhanced understanding of community priorities and provided a practical roadmap for innovations that have the potential to improve the well‐being of community‐dwelling older adults.

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Section: Resultsmentioning

confidence: 99%

Section: Prioritized Solution C: Train Older Adults On Medication Rec...mentioning

confidence: 99%

Participatory research to improve medication reconciliation for older adults in the community

Doucette

Kiely

Gierisch

et al. 2022

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

Team-based approach to improving medication reconciliation rates in family medicine residency clinics

Cited by 1 publication

References 22 publications

Participatory research to improve medication reconciliation for older adults in the community

Participatory research to improve medication reconciliation for older adults in the community

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