Student pharmacist initiated medication reconciliation in the outpatient setting

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1. Verfasser: Miranda R. ANDRUS
Format: Artículo científico
Sprache:en
Veröffentlicht: Centro de investigaciones y Publicaciones Farmacéuticas 2012
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author Miranda R. ANDRUS
author_facet Miranda R. ANDRUS
contents Student pharmacist initiated medication reconciliation in the outpatient setting Miranda R. ANDRUS Medicina Students Pharmacy United States Medication Reconciliation Electronic Health Records The Joint Commission continues to emphasize the importance of medication reconciliation in allpractice settings. Pharmacists and student pharmacists are uniquely trained in this aspect of patient care, and can assist with keeping accurate and complete medication records through patient interview in the outpatient setting. Objective: The objective of this study was to quantify and describe medication reconciliation efforts by student pharmacists in an outpatient family medicine center. Methods: A retrospective review was conducted of all standard medication reconciliation forms completed by student pharmacists during patient interviews from April 2010 to July 2010. The number of reviews conducted was recorded, along with the frequency of each type of discrepancy. A discrepancy was defined as any lack of agreement between the medication list in the electronic health record (EHR) and the patient-reported regimen and included any differences in dose or frequency of a medication, duplication of the same medication, medication no longer taken or omission of any medication. Results: A total of 213 standard medication forms from the 4 month period were reviewed. A total of 555 discrepancies were found, including medications no longer taken, prescription medications that needed to be added to the EHR, over-the-counter(OTC) and herbal medications that needed to be added to the EHR, medications taken differently than recorded in the EHR, and medication allergies which needed to be updated. An average of 2.6 discrepancies was found per patient interviewed. Conclusion: Student pharmacist-initiatedmedication reconciliation in an outpatient family medicine center resulted in the resolution ofnumerous discrepancies in the medication lists of individual patients. Pharmacists and student pharmacists are uniquely trained in medication history taking and play a vital role in medication reconciliation in the outpatient setting. 2012 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69023766003 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.10
format Artículo científico
id redalyc_69023766003
institution Redalyc
language en
publishDate 2012
publisher Centro de investigaciones y Publicaciones Farmacéuticas
spellingShingle Student pharmacist initiated medication reconciliation in the outpatient setting
Miranda R. ANDRUS
Medicina
Students
Pharmacy
United States
Medication Reconciliation
Electronic Health Records
Student pharmacist initiated medication reconciliation in the outpatient setting Miranda R. ANDRUS Medicina Students Pharmacy United States Medication Reconciliation Electronic Health Records The Joint Commission continues to emphasize the importance of medication reconciliation in allpractice settings. Pharmacists and student pharmacists are uniquely trained in this aspect of patient care, and can assist with keeping accurate and complete medication records through patient interview in the outpatient setting. Objective: The objective of this study was to quantify and describe medication reconciliation efforts by student pharmacists in an outpatient family medicine center. Methods: A retrospective review was conducted of all standard medication reconciliation forms completed by student pharmacists during patient interviews from April 2010 to July 2010. The number of reviews conducted was recorded, along with the frequency of each type of discrepancy. A discrepancy was defined as any lack of agreement between the medication list in the electronic health record (EHR) and the patient-reported regimen and included any differences in dose or frequency of a medication, duplication of the same medication, medication no longer taken or omission of any medication. Results: A total of 213 standard medication forms from the 4 month period were reviewed. A total of 555 discrepancies were found, including medications no longer taken, prescription medications that needed to be added to the EHR, over-the-counter(OTC) and herbal medications that needed to be added to the EHR, medications taken differently than recorded in the EHR, and medication allergies which needed to be updated. An average of 2.6 discrepancies was found per patient interviewed. Conclusion: Student pharmacist-initiatedmedication reconciliation in an outpatient family medicine center resulted in the resolution ofnumerous discrepancies in the medication lists of individual patients. Pharmacists and student pharmacists are uniquely trained in medication history taking and play a vital role in medication reconciliation in the outpatient setting. 2012 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69023766003 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.10
title Student pharmacist initiated medication reconciliation in the outpatient setting
topic Medicina
Students
Pharmacy
United States
Medication Reconciliation
Electronic Health Records
url https://www.redalyc.org/articulo.oa?id=69023766003