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[Feasibility of the implementation of medication reconciliation in Hungary]
Adám Freisinger1, Judit Lám1, Lilla Barki1
1Semmelweis Egyetem, Egészségügyi Közszolgálati Kar Egészségügyi Menedzserképző Központ Budapest Kútvölgyi út 2. 1125.
Introduction:
For medication safety improvement medication reconciliation was proven to be an effective method transferable between different healthcare providers and ward profiles.
Aim:
Gaining a better understanding of the process of reconciling medicines. Mapping the driving and restraining forces of introducing medication reconciliation.
Method:
A search of the literature was conducted. 19 databases were searched using 7 different search engines. The relevance of the papers was rated by two independent experts. Data were extracted based on a previously compiled extraction tool.
Results:
230 articles were evaluated. Limits and driving forces of implementing medication reconciliation were set out. Often mentioned implementation obstacles were: communication issues, disengagement of the leaders, unpredictable resources and competence problems. Recommendations mainly consisted of process redesign techniques, presentation of cost-effectiveness data and arranging special training for staff.
Conclusions:
For improvement of medication safety in Hungarian hospitals implementing medication reconciliation should be considered. The conclusion of ongoing on-site trials as well as limits and success factors identified in this paper should taken into account.