Literature DB >> 28179740

Expanded Roles for Pharmacy Technicians in the Medication Reconciliation Process: A Qualitative Review.

Adriane N Irwin, YoungYoon Ham, Theresa M Gerrity.   

Abstract

Background: Collection of a complete and accurate medication history is an essential component of the medication reconciliation process. The role of pharmacy technicians in supporting medication reconciliation has been the subject of recent interest. Purpose: The purpose of this article is to review the existing literature on pharmacy technician involvement in the medication reconciliation process and to summarize outcomes on the quality and accuracy of pharmacy technician-collected medication histories. Method: A literature review was conducted using MEDLINE and Academic Search Premier (1948 - April 2015).
Results: Sixteen papers were identified, with 12 containing a formal evaluation of outcomes. Three were purely descriptive, and 9 compared the pharmacy technician's performance to pharmacists, nurses, physicians, and/or interdisciplinary teams. Studies used a variety of endpoints, but they demonstrated similar or improved outcomes by engaging pharmacy technicians. Evidence demonstrates that trained pharmacy technicians are able to gather medication histories with similar completeness and accuracy to other health care professionals.
Conclusion: The use of pharmacy technicians may be a viable strategy for developing and expanding medication reconciliation processes with appropriate supervision. Future efforts should focus on evaluating the impact of expanded roles for pharmacy technicians in the health care system; assessing the need for standardization of pharmacy technician education, training, and certification; and obtaining clarification from state pharmacy boards regarding these expanded roles.

Keywords:  medication discrepancies; medication errors; medication reconciliation; pharmacy service; pharmacy technician

Year:  2017        PMID: 28179740      PMCID: PMC5278913          DOI: 10.1310/hpj5201-44

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


  33 in total

1.  Data analyst technician: an innovative role for the pharmacy technician.

Authors:  K C Ervin; S Skledar; M M Hess; M Ryan
Journal:  Am J Health Syst Pharm       Date:  2001-10-01       Impact factor: 2.637

2.  Effectiveness of a pharmacist-acquired medication history in promoting patient safety.

Authors:  Tina M Nester; LaDonna S Hale
Journal:  Am J Health Syst Pharm       Date:  2002-11-15       Impact factor: 2.637

3.  Pharmacy technicians supporting clinical functions.

Authors:  Eric Weber; Charley Hepfinger; Randy Koontz; Lezlie Cohn-Oswald
Journal:  Am J Health Syst Pharm       Date:  2005-12-01       Impact factor: 2.637

Review 4.  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

5.  Opportunities and challenges related to pharmacy technicians in supporting optimal pharmacy practice models in health systems.

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

6.  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

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.  Pharmacist- versus physician-obtained medication histories.

Authors:  Todd A Reeder; Alan Mutnick
Journal:  Am J Health Syst Pharm       Date:  2008-05-01       Impact factor: 2.637

9.  Model for medication therapy management in a university clinic.

Authors:  Mary Ann Kliethermes; Anne Marie Schullo-Feulner; Jessica Tilton; Shiyun Kim; Annette Nicole Pellegrino
Journal:  Am J Health Syst Pharm       Date:  2008-05-01       Impact factor: 2.637

10.  Improving medication safety with accurate preadmission medication lists and postdischarge education.

Authors:  John E Gardella; Terri B Cardwell; Michael Nnadi
Journal:  Jt Comm J Qual Patient Saf       Date:  2012-10
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  7 in total

1.  Comparison of pharmacy technicians' and doctors' medication transcribing errors at hospital discharge.

Authors:  Michael Lloyd
Journal:  Eur J Hosp Pharm       Date:  2018-07-07

2.  Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers.

Authors:  Véronique C LeBlanc; Audrey Desjardins; Marie-Pier Desbiens; Christine Dinh; Fanny Courtemanche; Faranak Firoozi; Suzanne Gilbert; Yola Moride; Yannick Villeneuve
Journal:  Explor Res Clin Soc Pharm       Date:  2021-11-17

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.  Documentation in the Patient's Medical Record by Clinical Pharmacists in a Canadian University Teaching Hospital.

Authors:  Jean-Philippe Adam; Chloé Trudeau; Charlotte Pelchat-White; Marie-Lou Deschamps; Philippe Labrosse; Marie-Claude Langevin; Benoît Crevier
Journal:  Can J Hosp Pharm       Date:  2018-06-30

5.  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

6.  Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial.

Authors:  Joshua M Pevnick; Caroline Nguyen; Cynthia A Jackevicius; Katherine A Palmer; Rita Shane; Galen Cook-Wiens; Andre Rogatko; Mackenzie Bear; Olga Rosen; David Seki; Brian Doyle; Anish Desai; Douglas S Bell
Journal:  BMJ Qual Saf       Date:  2017-10-06       Impact factor: 7.418

7.  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

  7 in total

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