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Experience with a pharmacy technician medication history program.

Julie B Cooper1, Michelle Lilliston2, DeAnne Brooks2

  • 1Julie B. Cooper, Pharm.D., BCPS, is Clinical Pharmacist; Michelle, Lilliston, Pharm.D., BCPS, is Clinical Pharmacist; and DeAnne Brooks, Pharm.D., is Director of Pharmacy, Moses H. Cone Memorial Hospital, Cone Health, Greensboro, NC. Bruce Swords, M.D., Ph.D., is Chief Medical Information Officer, Cone Health. julie.cooper@conehealth.com.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
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PubMed
Summary
This summary is machine-generated.

A pharmacy technician medication history program, guided by a standardized protocol, significantly improved medication reconciliation accuracy and provider compliance. This initiative enhanced patient care by ensuring accurate medication histories at discharge.

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Area of Science:

  • Pharmacy Practice
  • Patient Safety
  • Healthcare Management

Background:

  • Medication reconciliation is crucial for patient safety, particularly at discharge.
  • Low provider compliance with medication reconciliation poses a significant risk.
  • Pharmacy technicians can play a vital role in medication history collection.

Purpose of the Study:

  • To describe the implementation and outcomes of a pharmacy technician-led medication history program.
  • To assess the impact of a standardized medication history process on accuracy and completeness.
  • To evaluate the effect on provider compliance with medication reconciliation.

Main Methods:

  • Developed a medication history standard defining documentation rules and medication categories.
  • Implemented a training and accountability program for pharmacy technicians.
  • Pharmacy technicians conducted structured interviews and validated medication information.
  • Pharmacists supervised technicians using approved protocols for best possible medication history.

Main Results:

  • Achieved consistent medication history accuracy and completeness rates exceeding 90%.
  • Increased provider compliance with medication reconciliation from under 20% to 100% post-implementation.
  • Demonstrated the effectiveness of a standardized approach in improving medication management.

Conclusions:

  • A standardized medication history process is effective for pharmacy technician programs.
  • Pharmacy technician involvement significantly improves discharge medication reconciliation compliance.
  • This program enhances patient safety and supports reimbursement capture.