Jena Jobin1, Adriane N Irwin2, Jana Pimentel3, Matthew C Tanner4. 1. Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA; Legacy Good Samaritan Medical Center, Pharmacy Department, 1015 NW 22nd Ave, Portland, OR, 97210, USA. 2. Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA; Oregon State University, College of Pharmacy, 203 Pharmacy Bldg, Corvallis, OR, 97331, USA. Electronic address: Adriane.irwin@oregonstate.edu. 3. Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA; St. Joseph Hospital, Pharmacy Department, 2700 Dolbeer Street, Eureka, CA, 95501, USA. 4. Salem Health, Pharmacy Department, 890 Oak St SE, Salem, OR, 97301, USA.
Abstract
BACKGROUND: Transitioning activities that do not require clinical judgment from pharmacists to pharmacy technicians has been endorsed as a strategy to increase patient access to clinical pharmacy services. One role becoming increasingly common is using pharmacy technicians to collect the medication history within medication reconciliation processes. OBJECTIVE: To assess the ability of pharmacy technicians to gather a complete and accurate medication history during the inpatient admission process at a regional medical center. METHODS: Prospective study of unscheduled inpatient admissions at Salem Hospital. Patients where the initial information source was patient or caregiver interview, had two medication histories collected - one by a pharmacy technician through usual care processes and one by a student pharmacist with pharmacist oversight. Medication histories were then compared and a percent accuracy ranging from 0 - 100% was calculated for each of the pharmacy technician-collected histories. RESULTS: A total of 101 patients were included from January 19 to March 6, 2016. Patients were on average 65 ± 19 years of age and taking 7 ± 6 medications at admission. The accuracy of the technician collected histories was 92.9 ± 14.2%. Accuracy was not impacted by age, number of medications, or admitting shift (all p > 0.05). CONCLUSIONS: Pharmacy technicians can collect complete and accurate medication histories. Results add to the growing body of literature supporting an expanded role for pharmacy technicians in medication reconciliation processes.
BACKGROUND: Transitioning activities that do not require clinical judgment from pharmacists to pharmacy technicians has been endorsed as a strategy to increase patient access to clinical pharmacy services. One role becoming increasingly common is using pharmacy technicians to collect the medication history within medication reconciliation processes. OBJECTIVE: To assess the ability of pharmacy technicians to gather a complete and accurate medication history during the inpatient admission process at a regional medical center. METHODS: Prospective study of unscheduled inpatient admissions at Salem Hospital. Patients where the initial information source was patient or caregiver interview, had two medication histories collected - one by a pharmacy technician through usual care processes and one by a student pharmacist with pharmacist oversight. Medication histories were then compared and a percent accuracy ranging from 0 - 100% was calculated for each of the pharmacy technician-collected histories. RESULTS: A total of 101 patients were included from January 19 to March 6, 2016. Patients were on average 65 ± 19 years of age and taking 7 ± 6 medications at admission. The accuracy of the technician collected histories was 92.9 ± 14.2%. Accuracy was not impacted by age, number of medications, or admitting shift (all p > 0.05). CONCLUSIONS: Pharmacy technicians can collect complete and accurate medication histories. Results add to the growing body of literature supporting an expanded role for pharmacy technicians in medication reconciliation processes.