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Pharmacy-based medication reconciliation program utilizing pharmacists and technicians: a process improvement
Stephanie B Smith1, Michael D Mango2
1Pharmacy Clinical Coordinator.
Hospital Pharmacy
|January 15, 2014
Summary
A pharmacy-led admission medication reconciliation program significantly improved medication accuracy and reconciliation rates. This enhanced patient safety by ensuring complete and accurate medication lists for admitted patients.
Area of Science:
- Pharmacy Practice
- Patient Safety
- Medication Management
Background:
- Pharmacists and technicians can enhance patient safety through accurate medication histories and reconciliation.
- Owning the admission medication reconciliation process is key.
Purpose of the Study:
- To compare the quality of a pharmacy-based medication reconciliation program with the standard multidisciplinary process.
- Evaluate a program using pharmacists and technicians for admission medication reconciliation.
Main Methods:
- Retrospective chart review and process improvement study.
- Technicians collected pre-admission medication histories.
- Pharmacists verified histories and reconciled with admission orders.
Main Results:
- Medication accuracy improved from 45.8% to 95% (P < .001).
- Medication reconciliation rates increased from 44.2% to 92.8% (P < .001).
- Results remained above benchmark throughout the study period.
Conclusions:
- A pharmacy-based program with pharmacists and technicians significantly boosts medication accuracy and reconciliation.
- These improvements in medication reconciliation were sustained over time.
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