Effectiveness of an educational intervention in improving the patient medication reconciliation in the emergency department.
Journal
International journal of clinical practice
ISSN: 1742-1241
Titre abrégé: Int J Clin Pract
Pays: India
ID NLM: 9712381
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
06
12
2020
accepted:
02
09
2021
pubmed:
6
9
2021
medline:
25
2
2023
entrez:
5
9
2021
Statut:
ppublish
Résumé
This study aimed to evaluate the effectiveness of an educational intervention in improving the patient medication reconciliation process. This was a cross-sectional study that was conducted at St. Jude hospital, California (CA), United States. An educational intervention was provided to the healthcare team working in the emergency department (ED) to explore its effectiveness in improving their patient medication reconciliation practices. A survey was administered to explore the healthcare staff's views on where responsibility lay in their team concerning the fulfilment of appropriate medication reconciliation procedures. Additionally, we identified the barriers facing the completion of appropriate medication reconciliation using open-ended question provided to healthcare staff at the hospital. In the pre-intervention phase, the percentage of patients who received medication reconciliation was statistically significantly higher during the day shift (71.0% compared with 51.3%). In the postintervention phase, the percentage of patients who received medication reconciliation was statistically significantly higher during the night shift (96.7% compared with 75.8%). Overall, the percentage of patients who received medication reconciliation was statistically significantly higher in the postintervention group (81.3%) compared with the pre-intervention group (64.7%) (P < .001). Educational intervention is an effective tool in improving medication reconciliation practices in inpatient settings. The process of medication reconciliation should be conducted based on shared responsibility between healthcare providers and aimed at reducing medication errors and improving patient safety.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14782Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Boockvar K, Carlson LaCorte H, Giambanco V, Fridman B, Siu A. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4:236-243.
Cohen MR. The Institute of Medicine report, preventing medication errors: Another good day. Am J Health-Syst Pharma. 2007;64:S1-S2.
Barnsteiner J. Medication reconciliation: transfer of medication information across settings-keeping it free from error. Am J Nurs. 2005;105:31-36.
Aronson J. Medication reconciliation. BMJ. 2017;356:i5336.
Mueller S, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172:1057-1069.
Chan AH, Garratt E, Lawrence B, Turnbull N, Pratapsingh P, Black PN. Effect of education on the recording of medicines on admission to hospital. J Gen Intern Med. 2010;25:537-542.
Greenwald J, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. J Hosp Med. 2010;5:477-485.
Tahir H, Ramagiri Vinod N, Daruwalla V, et al. Decreasing unintended medication discrepancies in medication reconciliation through simple yet effective interventions. Am J Public Health Res. 2017;5:30-35.
Thomsen L, Winterstein AG, S⊘ndergaard B, Haugb⊘lle LS, Melander A. Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care. Ann Pharmacother. 2007;41:1411-1426.
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15:122-126.
Pronovost P, Weast B, Schwarz M, et al. Medication reconciliation: a practical tool to reduce the risk of medication errors. J Crit Care. 2003;18:201-205.
Santell J. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32:225-229.
Rozich J, Roger R. Medication safety: one organization’s approach to the challenge. J Clin Outcomes Manage. 2001;8:27-34.
Stowasser D, Collins D, Stowasser M. A randomised controlled trial of medication liaison services - patient outcomes. J Pharm Pract Res. 2002;32:133-140.
Duguid M. The importance of medication reconciliation for patients and practitioners. Aust Prescr. 2012;35:15-18.
Massachusetts Coalition for the Prevention of Medical Errors. Reconciling medications - safe practice recommendations; 2005. http://www.macoalition.org/Initiatives/RecMeds/SafePractices. Accessed December 03, 2020.
Burridge N. SHPA standards of practice for the provision of medication reconciliation. Pharm Pract Res. 2007;37:231-233.
Gleason K, McDaniel MR, Feinglass J, et al. Results of the Medications at Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. J Gen Intern Med. 2010;25:441-447.
Naser A, Wong ICK, Whittlesea C, et al. Attitudes and perceptions towards hypoglycaemia in patients with diabetes mellitus: a multinational cross-sectional study. PLoS One. 2019;14:1-16.
Kim Y, Kim HS, Kim HA, et al. Can patient and family education prevent medical errors? A descriptive study. BMC Health Serv Res. 2020;20:1-7.
Mohsin-Shaikh S, Garfield S, Franklin B. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36:657-666.
Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6:329-337.