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Medication reconciliation

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https://www.readbyqxmd.com/read/29788309/rethinking-the-outpatient-medication-list-increasing-patient-activation-and-education-while-architecting-for-centralization-and-improved-medication-reconciliation
#1
Frank Pandolfe, Adam Wright, Warner V Slack, Charles Safran
Objective: Identify barriers impacting the time consuming and error fraught process of medication reconciliation. Design and implement an electronic medication management system where patient and trusted healthcare proxies can participate in establishing and maintaining an inclusive and up-to-date list of medications. Methods: A patient-facing electronic medication manager was deployed within an existing research project focused on elder care management funded by the AHRQ, InfoSAGE, allowing patients and patients' proxies the ability to build and maintain an accurate and up-to-date medication list...
May 17, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29778344/impact-of-clinical-pharmacist-engagement-in-ward-teams-on-the-number-of-drug-related-readmissions-among-swedish-older-patients-with-dementia-or-cognitive-impairment-an-economic-evaluation
#2
Maria Sjölander, Lars Lindholm, Bettina Pfister, Jeanette Jonsson, Jörn Schneede, Hugo Lövheim, Maria Gustafsson
BACKGROUND: Clinical pharmacists play an increasing role in the pharmacological treatment of hospital-admitted older patients with dementia or cognitive impairment. In an earlier randomised controlled trial, clinical pharmacist involvement in the ward team could significantly reduce drug-related readmissions in patient subgroups. However, the economic impact of the intervention has not been addressed so far. OBJECTIVES: To evaluate the economic impact of clinical pharmacist engagement in hospital ward teams for medication therapy management in older patients with dementia or cognitive impairments...
May 16, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29773700/implications-of-involving-pharmacy-technicians-in-obtaining-a-best-possible-medication-history-from-the-perspectives-of-pharmaceutical-medical-and-nursing-staff-a-qualitative-study
#3
Andrea Niederhauser, Chantal Zimmermann, Liat Fishman, David L B Schwappach
OBJECTIVES: In recent years, the involvement of pharmacy technicians in medication reconciliation has increasingly been investigated. The aim of this study was to assess the implications on professional roles and collaboration when a best possible medication history (BPMH) at admission is obtained by pharmacy technicians. DESIGN: Qualitative study with semistructured interviews. Data were analysed using a qualitative content analysis approach. SETTING: Internal medicine units in two mid-sized Swiss hospitals...
May 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29766133/trauma-transitional-care-coordination-protecting-the-most-vulnerable-trauma-patients-from-hospital-readmission
#4
Erin C Hall, Rebecca Tyrrell, Thomas M Scalea, Deborah M Stein
Background: Unplanned hospital readmissions increase healthcare costs and patient morbidity. We hypothesized that a program designed to reduce trauma readmissions would be effective. Methods: A Trauma Transitional Care Coordination (TTCC) program was created to support patients at high risk for readmission. TTCC interventions included call to patient (or caregiver) within 72 hours of discharge to identify barriers to care, complete medication reconciliation, coordination of appointments, and individualized problem solving...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29761596/the-electronic-pharmaceutical-record-a-new-method-for-medication-reconciliation
#5
Camille Jurado, Violaine Calmels, Emilie Lobinet, Elodie Divol, Hélène Hanaire, David Metsu, Brigitte Sallerin
RATIONALE, AIM, AND OBJECTIVE: There are several ways to establish an accurate medication list in the hospital admission medication reconciliation (MedRec). The challenge for MedRec lies in the availability, reliability, and completeness of the data used. In France, the Electronic Pharmaceutical Record (ePR) was developed to register each medication taken by ambulatory patients, primarily to make dispensation in community pharmacies safe. We evaluated the suitability of this tool in the MedRec when patients were admitted to the hospital...
May 15, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29759260/a-call-to-bridge-across-silos-during-care-transitions
#6
Fatima Sheikh, Evelyn Gathecha, Michele Bellantoni, Colleen Christmas, Justin P Lafreniere, Alicia I Arbaje
BACKGROUND: Older adults with complex medical conditions are vulnerable during care transitions. Poor care transitions can lead to poor patient outcomes and frequent readmissions to the hospital. FACTORS CONTRIBUTING TO SUBOPTIMAL CARE TRANSITIONS: Key factors related to ineffective care transitions, which can lead to suboptimal patient outcomes, include poor cross-site communication and collaboration; lack of awareness of patient wishes, abilities, and goals of care; and incomplete medication reconciliation...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29757802/assessing-unwanted-variations-in-rheumatology-clinic-previsit-rooming
#7
Edmond Ramly, Brad Stroik, Diane R Lauver, Heather M Johnson, Patrick McBride, Kristin Steffen Lewicki, Jon Arnason, Christie M Bartels
BACKGROUND: Rheumatologists face time pressures similar to primary care but have not generally benefitted from optimized team-based rooming during the time from the waiting room until the rheumatologist enters the room. OBJECTIVE: The aim of this study was to assess current capacity for population management in rheumatology clinics; we aimed to measure the tasks performed by rheumatology clinic staff (medical assistants or nurses) during rooming. METHODS: We performed a cross-sectional time-study and work-system analysis to measure rooming workflows at 3 rheumatology clinics in an academic multispecialty practice during 2014-2015...
May 11, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29754251/impact-of-medication-reconciliation-and-review-and-counselling-on-adverse-drug-events-and-healthcare-resource-use
#8
Amna Al-Hashar, Ibrahim Al-Zakwani, Tommy Eriksson, Alaa Sarakbi, Badriya Al-Zadjali, Saif Al Mubaihsi, Mohammed Al Zaabi
Background Adverse drug events from preventable medication errors can result in patient morbidity and mortality, and in cost to the healthcare system. Medication reconciliation can improve communication and reduce medication errors at transitions in care. Objective Evaluate the impact of medication reconciliation and counselling intervention delivered by a pharmacist for medical patients on clinical outcomes 30 days after discharge. Setting Sultan Qaboos University Hospital, Muscat, Oman. Methods A randomized controlled study comparing standard care with an intervention delivered by a pharmacist and comprising medication reconciliation on admission and discharge, a medication review, a bedside medication counselling, and a take-home medication list...
May 12, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29751973/advancing-indigenous-primary-health-care-policy-in-alberta-canada
#9
Rita Henderson, Stephanie Montesanti, Lindsay Crowshoe, Charles Leduc
For Indigenous people worldwide, accessing Primary Health Care (PHC) services responsive to socio-cultural realities is challenging, with institutional inequities in healthcare and jurisdictional barriers encumbering patients, providers, and decision-makers. In the Canadian province of Alberta, appropriate Indigenous health promotion, disease prevention, and primary care health services are needed, though policy reform is hindered by complex networks and competing interests between: federal/provincial funders; reserve/urban contexts; medical/allied health professional priorities; and three Treaty territories each structuring fiduciary responsibilities of the Canadian government...
May 7, 2018: Health Policy
https://www.readbyqxmd.com/read/29751104/usability-evaluation-of-a-medication-reconciliation-tool-embedding-safety-probes-to-assess-users-detection-of-medication-discrepancies
#10
Alissa L Russ, Michelle A Jahn, Himalaya Patel, Brian W Porter, Khoa A Nguyen, Alan J Zillich, Amy Linsky, Steven R Simon
OBJECTIVE: An electronic medication reconciliation tool was previously developed by another research team to aid provider-patient communication for medication reconciliation. To evaluate the usability of this tool, we integrated artificial safety probes into standard usability methods. The objective of this article is to describe this method of using safety probes, which enabled us to evaluate how well the tool supports users' detection of medication discrepancies. MATERIALS AND METHODS: We completed a mixed-method usability evaluation in a simulated setting with 30 participants: 20 healthcare professionals (HCPs) and 10 patients...
May 8, 2018: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/29743057/specialty-preferences-and-influencing-factors-a-repeated-cross-sectional-survey-of-first-to-sixth-year-medical-students-in-jena-germany
#11
Diana Grasreiner, Uta Dahmen, Utz Settmacher
BACKGROUND: Given the expected increase in those entering retirement, the number of practising physicians is predicted to decrease. Conversely, the number of physicians needed is set to increase, due to higher demands resulting from the increasing average age of the German population. This may cause a deficit in the availability and accessibility of medical care for the population in Germany, as well as in other countries. As such, there needs to be a specific focus on the next generation of physicians...
May 9, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29740636/potential-role-of-a-pharmacist-to-enhance-medication-related-aspects-of-clinical-trials-conducted-in-a-dedicated-clinical-research-unit
#12
Kimberly A Redic, Amy Skyles, John Zaccardelli
Purpose: Pharmacist involvement in medication reconciliation has been shown to have a positive impact on patient care in a number of settings [1-6], but there have been no evaluations of the effect of this pharmacist role on patient care during the conduct of clinical trials. Pharmacist involvement in the medication reconciliation process for clinical trials may provide improved protocol compliance. Methods: This was a retrospective pilot study conducted in a dedicated research unit that assessed completeness of the medication reconciliation process by clinical trial teams for patients participating in a clinical trial involving investigational medication(s)...
June 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29736046/quality-of-best-possible-medication-history-upon-admission-to-hospital-comparison-of-nurses-and-pharmacy-students-and-consideration-of-national-quality-indicators
#13
Ashley Sproul, Carole Goodine, David Moore, Amy McLeod, Jacqueline Gordon, Jennifer Digby, George Stoica
Background: Medication reconciliation at transitions of care increases patient safety. Collection of an accurate best possible medication history (BPMH) on admission is a key step. National quality indicators are used as surrogate markers for BPMH quality, but no literature on their accuracy exists. Obtaining a high-quality BPMH is often labour- and resource-intensive. Pharmacy students are now being assigned to obtain BPMHs, as a cost-effective means to increase BPMH completion, despite limited information to support the quality of BPMHs obtained by students relative to other health care professionals...
March 2018: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/29735477/finding-meaning-in-medication-reconciliation-using-electronic-health-records-qualitative-analysis-in-safety-net-primary-and-specialty-care
#14
George Yaccoub Matta, Elaine C Khoong, Courtney R Lyles, Dean Schillinger, Neda Ratanawongsa
BACKGROUND: Safety net health systems face barriers to effective ambulatory medication reconciliation for vulnerable populations. Although some electronic health record (EHR) systems offer safety advantages, EHR use may affect the quality of patient-provider communication. OBJECTIVE: This mixed-methods observational study aimed to develop a conceptual framework of how clinicians balance the demands and risks of EHR and communication tasks during medication reconciliation discussions in a safety net system...
May 7, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29732650/an-explorative-study-on-medicines-reconciliation-in-the-homeless-with-a-mental-illness
#15
Nikola Nikolić
OBJECTIVES: This study explored the accuracy of medicines-related information (MRI) held by healthcare service providers in a hostel for homeless men with a mental illness. METHODS: Fifteen residents' records were screened for MRI on medical history, allergy status and treatment, using all available sources. KEY FINDINGS: There was a significant difference in the number of prescribed psychotropics amongst different services. Twenty-three discrepancies (n = 90) were due to different doses, and 63 discrepancies were omissions...
May 6, 2018: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29719884/evaluation-of-multimedia-medication-reconciliation-software-a-randomized-controlled-single-blind-trial-to-measure-diagnostic-accuracy-for-discrepancy-detection
#16
Blake J Lesselroth, Kathleen Adams, Victoria L Church, Stephanie Tallett, Yelizaveta Russ, Jack Wiedrick, Christopher Forsberg, David A Dorr
BACKGROUND:  The Veterans Affairs Portland Healthcare System developed a medication history collection software that displays prescription names and medication images. OBJECTIVE:  This article measures the frequency of medication discrepancy reporting using the medication history collection software and compares with the frequency of reporting using a paper-based process. This article also determines the accuracy of each method by comparing both strategies to a best possible medication history...
April 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29716754/-use-of-a-medical-discharge-sheet-for-medication-reconciliation-in-an-internal-medicine-department-assessment-of-general-practitioners-opinion
#17
L Alix, M Dumay, B Cador-Rousseau, H Gilardi, B Hue, D Somme, P Jego
BACKGROUND: Medication reconciliation (MR) is a systematic and comprehensive review of all medication a patient is taking. In this study, a discharge medication sheet (DMS) is given to patients upon discharge: it contains discharge prescription and any changes made to admission prescription with justifications. The aim of this study is to explore general practitioners' (GP) perceptions of this DMS in order to suggest improvements. METHODS: In this prospective observational study, individual semi-directed interviews were conducted with GPs who received a DMS following the hospitalization of one of their patients...
April 28, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29716411/characterization-of-pharmacy-resident-interventions-on-an-academic-inpatient-internal-medicine-rotation
#18
Sarah E Petite
PURPOSE: To characterize the clinical interventions of postgraduate year 1 (PGY-1) pharmacy residents on a required, 1-month, inpatient adult internal medicine service at an academic medical center. METHODS: The interventions completed by PGY-1 pharmacy residents on a required, adult internal medicine rotation were analyzed. Documentation of clinical interventions was performed by the PGY-1 residents, and the significance of the intervention was subsequently determined...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29714617/pharmacotherapeutic-reports-as-tools-for-detecting-discrepancies-in-continuity-of-care
#19
Elena Yaiza Romero-Ventosa, Mónica Gayoso-Rey, Marisol Samartín-Ucha, Pablo Lamas-Domínguez, Martín Rubianes-González, David Rodríguez-Lorenzo, María Holanda Rodríguez-Vázquez, Julio García-Comesaña, Guadalupe Piñeiro-Corrales
BACKGROUND: The care transition is the time when more medication errors occur. The aim of this study is to analyze the usefulness of a pharmacotherapeutic report model at hospital discharge to prevent medication errors and to simplify pharmacotherapy during a patient's transition from the hospital to primary care. METHODS: Prospective study including patients diagnosed with chronic obstructive pulmonary disease who were admitted to a short-stay unit or an emergency room...
January 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29713690/improving-medication-reconciliation-at-hospital-admission-discharge-and-ambulatory-care-through-a-transition-of-care-team
#20
John Kreckman, Waiz Wasey, Sharron Wise, Tammy Stevens, Lance Millburg, Cassie Jaeger
Medication reconciliation is an important component to the care of hospitalised patients and their safe transition to the ambulatory setting. In our Family Medicine Hospitalist Service, patient care is frequently transferred between the various physicians, residents, nurses and eventually to a separate group of providers who provide ambulatory management. Due to frequent transitions of care, there was no clear ownership of the medication reconciliation process. To improve the medication reconciliation process, a Transition of Care Team composed of registered nurses was created to oversee the entire reconciliation process...
2018: BMJ Open Quality
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