Validating an EHR report for evaluating a pharmacy-led medication history service.

Area of Science:

• Health Informatics
• Pharmacy Practice
• Patient Safety

Background:

• Medication history accuracy is vital for patient safety, especially during care transitions.
• Pharmacy-led medication history services show clinical value but are hard to evaluate at scale.
• Manual chart review for quality improvement is unsustainable.

Purpose of the Study:

• To validate an automated reporting tool for evaluating pharmacy-led medication history services in the emergency department.
• To assess the tool's accuracy against manual chart review for key performance metrics.

Main Methods:

• Developed an automated reporting tool using electronic health record functionality.
• Captured metrics: medication history review timeliness, staff involvement, medication counts, length of stay, readmission/revisit rates.
• Conducted retrospective validation on 121 emergency department admissions, comparing automated data to manual chart review.

Main Results:

• Automated tool showed 100% agreement for most inpatient variables.
• Accuracy for medication counts was 72%, 30-day readmissions 81%, and 90-day readmissions 68%.
• Post-discharge data and medication counts showed variability, indicating a need for refinement.

Conclusions:

• The automated tool provides a scalable solution for continuous performance monitoring of pharmacy services.
• Refinement of data extraction logic is needed for improved accuracy in post-discharge metrics.
• The tool can enhance quality improvement initiatives for pharmacy-led medication history services.