Literature DB >> 27303094

Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtained in the Emergency Department.

Ellen C Rubin, Radhika Pisupati, Steven F Nerenberg.   

Abstract

PURPOSE: The purpose of this study is to determine the accuracy of a pharmacy technician-collected medication history pilot program in the emergency department. This was completed by reviewing all elements of the technician activity by direct observation and by verifying the technician-collected medication list through a second phone call by a pharmacist to the outpatient pharmacy.
METHODS: This was a retrospective, single-center study conducted from March to April 2015. Four certified pharmacy technicians were trained by a postgraduate year 1 (PGY1) pharmacy practice resident on how to collect, verify, and accurately enter medication histories into the electronic medical record. Accuracy of pharmacy technician-collected medication histories was verified by a pharmacist through observation of their patient interviews, review of technician-completed medication history forms, and by contacting the patient's outpatient pharmacy.
RESULTS: The pharmacy technician-completed medication histories resulted in an absolute risk reduction of errors of 50% and a relative risk reduction of errors of 77% (p < .001) in comparison to medication histories collected by non-pharmacy personnel.
CONCLUSION: With high accuracy rates, pharmacy technicians proved to be a valuable asset to the medication history process and can enhance patient safety during care transitions. The results of this study further support the Pharmacy Practice Model Initiative vision to advance the pharmacy technician role to improve the process of medication history taking and reconciliation within the health care system.

Entities:  

Keywords:  electronic medical record; medication errors; medication history; medication reconciliation; pharmacy technician

Year:  2016        PMID: 27303094      PMCID: PMC4896349          DOI: 10.1310/hpj5105-396

Source DB:  PubMed          Journal:  Hosp Pharm        ISSN: 0018-5787


  11 in total

1.  Best possible medication history by a pharmacy technician at a tertiary care hospital.

Authors:  Shahileen Remtulla; Glen Brown; Luciana Frighetto
Journal:  Can J Hosp Pharm       Date:  2009-09

Review 2.  Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Authors:  Vincent C Tam; Sandra R Knowles; Patricia L Cornish; Nowell Fine; Romina Marchesano; Edward E Etchells
Journal:  CMAJ       Date:  2005-08-30       Impact factor: 8.262

3.  Implementation of a pharmacy technician-centered medication reconciliation program at an urban teaching medical center.

Authors:  Sanchita Sen; Laura Siemianowski; Michelle Murphy; Susan Coutinho McAllister
Journal:  Am J Health Syst Pharm       Date:  2014-01-01       Impact factor: 2.637

4.  The consensus of the Pharmacy Practice Model Summit.

Authors: 
Journal:  Am J Health Syst Pharm       Date:  2011-06-15       Impact factor: 2.637

5.  Best possible medication history in the emergency department: comparing pharmacy technicians and pharmacists.

Authors:  Rochelle Johnston; Lauza Saulnier; Odette Gould
Journal:  Can J Hosp Pharm       Date:  2010-09

6.  Experience with a pharmacy technician medication history program.

Authors:  Julie B Cooper; Michelle Lilliston; DeAnne Brooks; Bruce Swords
Journal:  Am J Health Syst Pharm       Date:  2014-09-15       Impact factor: 2.637

7.  A program using pharmacy technicians to collect medication histories in the emergency department.

Authors:  Coleen Hart; Christine Price; Glenn Graziose; Jonathan Grey
Journal:  P T       Date:  2015-01

8.  A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients.

Authors:  Sarah Wallace Cater; Matthew Luzum; Allison E Serra; Meredith H Arasaratnam; Debbie Travers; Ian B K Martin; Trent Wei; Jane H Brice
Journal:  J Emerg Med       Date:  2014-11-20       Impact factor: 1.484

9.  Pharmacist-conducted medication reconciliation in an emergency department.

Authors:  Bryan D Hayes; Jennifer L Donovan; Brian S Smith; Christian A Hartman
Journal:  Am J Health Syst Pharm       Date:  2007-08-15       Impact factor: 2.637

10.  Pharmacy-based medication reconciliation program utilizing pharmacists and technicians: a process improvement initiative.

Authors:  Stephanie B Smith; Michael D Mango
Journal:  Hosp Pharm       Date:  2013-02
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  5 in total

1.  Health Care Providers' Attitude and Satisfaction Toward Patient-Oriented Services Provided by Pharmacy Technicians at Three Faith-Based Hospitals.

Authors:  Suh Nsutebu Ntani; Ngong Ferdinand Tchue
Journal:  J Pharm Technol       Date:  2022-06-07

2.  Hospital-Wide Medication Reconciliation Program: Error Identification, Cost-Effectiveness, and Detecting High-Risk Individuals on Admission.

Authors:  Dustin J Uhlenhopp; Oscar Aguilar; Dong Dai; Arka Ghosh; Michael Shaw; Chandan Mitra
Journal:  Integr Pharm Res Pract       Date:  2020-10-13

3.  Perceived Roles of Independent Community Pharmacists and Pharmacy Technicians in Patient Referrals to Community Resources: A Study from the Medication Safety Research Network of Indiana (Rx-SafeNet).

Authors:  Rebecca G Miller; Cassie A Perras; Caitlin K Frail; Omolola A Adeoye; Margie E Snyder
Journal:  J Am Coll Clin Pharm       Date:  2019-06-01

4.  Improving Medication History at Admission Utilizing Pharmacy Students and Technicians: A Pharmacy-Driven Improvement Initiative.

Authors:  Katerina Petrov; Ranjani Varadarajan; Martha Healy; Elmira Darvish; Cathleen Cowden
Journal:  P T       Date:  2018-11

5.  Implications of involving pharmacy technicians in obtaining a best possible medication history from the perspectives of pharmaceutical, medical and nursing staff: a qualitative study.

Authors:  Andrea Niederhauser; Chantal Zimmermann; Liat Fishman; David L B Schwappach
Journal:  BMJ Open       Date:  2018-05-17       Impact factor: 2.692

  5 in total

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