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Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students
Background: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy student...
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| Published in: | Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice) 2021-07, Vol.19 (3), p.2471 |
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| container_title | Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice) |
| container_volume | 19 |
| creator | Deep, Louise Schneider, Carl R. Moles, Rebekah Patanwala, Asad E. Do, Linda L. Burke, Rosemary Penm, Jonathan |
| description | Background: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution.
Objective: To evaluate the number and type of medication discrepancies identified by pharmacy students.
Methods: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.
Results: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p |
| doi_str_mv | 10.18549/PharmPract.2021.3.2471 |
| format | article |
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Objective: To evaluate the number and type of medication discrepancies identified by pharmacy students.
Methods: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.
Results: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p<0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system.
Conclusions: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation.</description><identifier>ISSN: 1885-642X</identifier><identifier>ISSN: 1886-3655</identifier><identifier>EISSN: 1886-3655</identifier><identifier>DOI: 10.18549/PharmPract.2021.3.2471</identifier><identifier>PMID: 34621455</identifier><language>eng</language><publisher>Centro de Investigaciones y Publicaciones Farmaceuticas</publisher><subject>Australia ; Cross ; cross-sectional studies ; Hospitalization ; Medical History Taking ; Medication Reconciliation ; Original Research ; Pharmaceutical Services ; Pharmacists ; Pharmacology & Pharmacy ; Pharmacy ; Professional Competence ; Sectional Studies ; Students ; students pharmacy ; Workforce</subject><ispartof>Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice), 2021-07, Vol.19 (3), p.2471</ispartof><rights>Copyright: © Pharmacy Practice 2021</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-4cf6d3b8c67c7b51eb32eb41d1d9dc2a1b4434808c899b6e9d2c6e44de5714523</citedby><orcidid>0000-0002-5396-8977 ; 0000-0002-2921-5609 ; 0000-0002-4043-6728 ; 0000-0001-9606-7135 ; 0000-0002-8522-1704 ; 0000-0002-0202-2487 ; 0000-0003-3999-4703</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456341/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456341/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids></links><search><creatorcontrib>Deep, Louise</creatorcontrib><creatorcontrib>Schneider, Carl R.</creatorcontrib><creatorcontrib>Moles, Rebekah</creatorcontrib><creatorcontrib>Patanwala, Asad E.</creatorcontrib><creatorcontrib>Do, Linda L.</creatorcontrib><creatorcontrib>Burke, Rosemary</creatorcontrib><creatorcontrib>Penm, Jonathan</creatorcontrib><title>Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students</title><title>Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice)</title><addtitle>Pharmacy Pract (Granada)</addtitle><description>Background: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution.
Objective: To evaluate the number and type of medication discrepancies identified by pharmacy students.
Methods: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.
Results: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p<0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system.
Conclusions: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation.</description><subject>Australia</subject><subject>Cross</subject><subject>cross-sectional studies</subject><subject>Hospitalization</subject><subject>Medical History Taking</subject><subject>Medication Reconciliation</subject><subject>Original Research</subject><subject>Pharmaceutical Services</subject><subject>Pharmacists</subject><subject>Pharmacology & Pharmacy</subject><subject>Pharmacy</subject><subject>Professional Competence</subject><subject>Sectional Studies</subject><subject>Students</subject><subject>students pharmacy</subject><subject>Workforce</subject><issn>1885-642X</issn><issn>1886-3655</issn><issn>1886-3655</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpdkttq3DAQhk1paUKSZ6hfwK7OlksphNBDILShSaB3QodxosVrGckO7GXfvLJ3abu5kjSj__uZQ1G8w6jGkrP2_e2TjtvbqO1UE0RwTWvCGvyqOMVSiooKzl-vd14JRn6dFBcpeYM4F5IwLN8WJ5QJghnnp8XvlaXtrkzT7GCYKp0_pwlcuQXnrZ58GMoINgzW9359fii_z1sDsdSDK6fdCKkM3f_fnU82wqizJOf8gvWdz0izK8cXfum8eNPpPsHF4TwrHr58vr_6Vt38-Hp9dXlTWU7EVDHbCUeNtKKxjeEYDCVgGHbYtc4SjQ1jlEkkrWxbI6B1xApgzAFvcqmEnhXXe64LeqPG6Lc67lTQXq2BEB-VjpO3PShqwLUSMwTQMUmkEdQaSlvMqNBtYzLr44HldT_AdIw7xObBRx82WkFSlz_vEUJYIMQFzvJ6L0-5QX1QmzDHIdeu7pahqWVoy1yzgi4qngWf9oJxNrnPNvct6v7I9Tgz-Cf1GJ6VZFxQtjg2e4CNIaUI3V8tRmpdKvVvqdRirqhalor-AYlLxF8</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Deep, Louise</creator><creator>Schneider, Carl R.</creator><creator>Moles, Rebekah</creator><creator>Patanwala, Asad E.</creator><creator>Do, Linda L.</creator><creator>Burke, Rosemary</creator><creator>Penm, Jonathan</creator><general>Centro de Investigaciones y Publicaciones Farmaceuticas</general><general>Centro de Investigaciones y Publicaciones Farmacéuticas</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>GPN</scope><scope>AGMXS</scope><scope>FKZ</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5396-8977</orcidid><orcidid>https://orcid.org/0000-0002-2921-5609</orcidid><orcidid>https://orcid.org/0000-0002-4043-6728</orcidid><orcidid>https://orcid.org/0000-0001-9606-7135</orcidid><orcidid>https://orcid.org/0000-0002-8522-1704</orcidid><orcidid>https://orcid.org/0000-0002-0202-2487</orcidid><orcidid>https://orcid.org/0000-0003-3999-4703</orcidid></search><sort><creationdate>20210701</creationdate><title>Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students</title><author>Deep, Louise ; Schneider, Carl R. ; Moles, Rebekah ; Patanwala, Asad E. ; Do, Linda L. ; Burke, Rosemary ; Penm, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-4cf6d3b8c67c7b51eb32eb41d1d9dc2a1b4434808c899b6e9d2c6e44de5714523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Australia</topic><topic>Cross</topic><topic>cross-sectional studies</topic><topic>Hospitalization</topic><topic>Medical History Taking</topic><topic>Medication Reconciliation</topic><topic>Original Research</topic><topic>Pharmaceutical Services</topic><topic>Pharmacists</topic><topic>Pharmacology & Pharmacy</topic><topic>Pharmacy</topic><topic>Professional Competence</topic><topic>Sectional Studies</topic><topic>Students</topic><topic>students pharmacy</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deep, Louise</creatorcontrib><creatorcontrib>Schneider, Carl R.</creatorcontrib><creatorcontrib>Moles, Rebekah</creatorcontrib><creatorcontrib>Patanwala, Asad E.</creatorcontrib><creatorcontrib>Do, Linda L.</creatorcontrib><creatorcontrib>Burke, Rosemary</creatorcontrib><creatorcontrib>Penm, Jonathan</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>Dialnet (Open Access Full Text)</collection><collection>Dialnet</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deep, Louise</au><au>Schneider, Carl R.</au><au>Moles, Rebekah</au><au>Patanwala, Asad E.</au><au>Do, Linda L.</au><au>Burke, Rosemary</au><au>Penm, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students</atitle><jtitle>Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice)</jtitle><addtitle>Pharmacy Pract (Granada)</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>19</volume><issue>3</issue><spage>2471</spage><pages>2471-</pages><issn>1885-642X</issn><issn>1886-3655</issn><eissn>1886-3655</eissn><abstract>Background: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution.
Objective: To evaluate the number and type of medication discrepancies identified by pharmacy students.
Methods: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.
Results: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p<0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system.
Conclusions: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation.</abstract><pub>Centro de Investigaciones y Publicaciones Farmaceuticas</pub><pmid>34621455</pmid><doi>10.18549/PharmPract.2021.3.2471</doi><orcidid>https://orcid.org/0000-0002-5396-8977</orcidid><orcidid>https://orcid.org/0000-0002-2921-5609</orcidid><orcidid>https://orcid.org/0000-0002-4043-6728</orcidid><orcidid>https://orcid.org/0000-0001-9606-7135</orcidid><orcidid>https://orcid.org/0000-0002-8522-1704</orcidid><orcidid>https://orcid.org/0000-0002-0202-2487</orcidid><orcidid>https://orcid.org/0000-0003-3999-4703</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1885-642X |
| ispartof | Pharmacy practice : official journal of the GRIPP (Global Research Institute of Pharmacy Practice), 2021-07, Vol.19 (3), p.2471 |
| issn | 1885-642X 1886-3655 1886-3655 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_3bed98140eef4828b63cb3391436a97b |
| source | PMC (PubMed Central) |
| subjects | Australia Cross cross-sectional studies Hospitalization Medical History Taking Medication Reconciliation Original Research Pharmaceutical Services Pharmacists Pharmacology & Pharmacy Pharmacy Professional Competence Sectional Studies Students students pharmacy Workforce |
| title | Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students |
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