Literature DB >> 30013300

Satisfaction With Medication Reconciliation Completed by Pharmacy Technicians in an Emergency Department.

Sajani Patel, A Scott Mathis, Jennifer Costello, Hoytin Lee Ghin, Germin Fahim.   

Abstract

PURPOSE: To survey advanced nurse practitioners, physician assistants, nurses, physicians, and resident physicians involved with collecting and reconciling medication histories in the emergency department (ED) to measure their satisfaction with the current process involving pharmacy technicians.
METHODS: Two sites within a large health system with pharmacy technician-driven medication reconciliation processes asked health care professionals to complete a survey of 20 multiple-choice questions. The data collected determined resources used and barriers faced when collecting medication histories, satisfaction before and after the involvement of pharmacy technicians in the ED, and the impact technology may have on this process in the future.
RESULTS: Of 144 health care providers surveyed, 69.4% reported collecting medication histories through patient interviews. The most common barrier reported was the lack of time (44%) to spend on this step. After implementing the pharmacy technician-driven program, satisfaction with health care providers' required time improved from 18.8% to 68.9%. Similarly, satisfaction with the accuracy of medication histories improved from 40.3% to 75.4%. When asked about the use of technology if available, 65.2% of respondents reported they would almost always use technology. However, 61.6% of respondents preferred investing health care resources in adding more pharmacy technicians in the ED rather than adding technology.
CONCLUSION: Pharmacy technicians have positively impacted the medication reconciliation process at the sites surveyed. Health care professionals report greater satisfaction with their time demands and perceived accuracy of medication histories, giving them more time to focus on other patient care tasks. Those surveyed reported interest in using technology to collect medication histories if it was available, but they would prefer more pharmacy technicians to assist with the process.

Entities:  

Keywords:  emergency department; medication history; medication reconciliation; pharmacy technician

Year:  2018        PMID: 30013300      PMCID: PMC6027853     

Source DB:  PubMed          Journal:  P T        ISSN: 1052-1372


  6 in total

1.  Program using pharmacy technicians to obtain medication histories.

Authors:  Ryan D Michels; Steven B Meisel
Journal:  Am J Health Syst Pharm       Date:  2003-10-01       Impact factor: 2.637

2.  Medication reconciliation by a pharmacist in the emergency department: a pilot project.

Authors:  Andrea J Kent; Louise Harrington; Jill Skinner
Journal:  Can J Hosp Pharm       Date:  2009-05

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.  A Comparison of Medication Histories Obtained by a Pharmacy Technician Versus Nurses in the Emergency Department.

Authors:  Marija Markovic; A Scott Mathis; Hoytin Lee Ghin; Michelle Gardiner; Germin Fahim
Journal:  P T       Date:  2017-01

5.  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

6.  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
  6 in total
  1 in total

1.  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
  1 in total

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