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Inpatient medication history verification by pharmacy students
Tracey L Mersfelder1, Ryan J Bickel
1College of Pharmacy, Ferris State University, Big Rapids, MI 49307, USA. traceymersfelder@borgess.com
Pharmacy students significantly enhanced patient medication histories by identifying undocumented prescriptions and natural products. Their involvement improved medication record accuracy for 67% of patients studied.
Area of Science:
- Pharmacy Practice
- Patient Safety
- Medication Reconciliation
Background:
- Accurate medication histories are crucial for effective patient care and safety.
- Medication reconciliation is a key process to prevent medication errors.
- Gaps in patient medication knowledge can lead to adverse events.
Purpose of the Study:
- To evaluate the impact of pharmacy students on improving the accuracy of patient medication histories.
- To assess the contribution of student-led medication history taking to patient record completeness.
Main Methods:
- Prospective study at a community teaching hospital involving pharmacy students.
- Students conducted thorough medication histories for internal medicine inpatients.
- Medication histories were verified by interviewing patients/family and contacting community pharmacies.
Main Results:
- Student efforts added previously undocumented prescription medications to 53.7% of charts.
- Nonprescription medications or natural products were newly documented in 51.2% of charts.
- Overall accuracy of medication histories improved for 67% of patients.
Conclusions:
- Pharmacy students effectively improved the completeness and accuracy of patient medication records.
- Student participation in medication history taking is a valuable strategy for enhancing patient safety.
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