Impact of students pharmacists on the medication reconciliation process in high-risk hospitalized general medicine patients.

Autor: Lancaster JW; Department of Pharmacy Practice, Northeastern University, Boston, Massachusetts ; Lahey Hospital and Medical Center, Burlington, Massachusetts., Grgurich PE; Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts ; Lahey Hospital and Medical Center, Burlington, Massachusetts.
Jazyk: angličtina
Zdroj: American journal of pharmaceutical education [Am J Pharm Educ] 2014 Mar 12; Vol. 78 (2), pp. 34.
DOI: 10.5688/ajpe78234
Abstrakt: Unlabelled: OBJECTIVE" To compare the accuracy of medication lists obtained by student pharmacists, nurses, and physicians, and quantify the number of discrepancies identified as part of the medication reconciliation process.
Methods: Between May and July 2012, patients admitted to an internal medicine team at a 350-bed tertiary academic medical center were assessed for inclusion in the study. Physicians and/or nurses conducted medication reviews for these patients at the time of admission, while student pharmacists conducted medication reconciliation.
Results: Eighty-six patients were assessed, and 52 met all inclusion criteria. A total of 268 discrepancies were identified as part of the medication reconciliation performed by the student pharmacists, approximating 5 discrepancies per patient (range 0-13). Student pharmacists identified 532 preadmission medications, significantly more than did nurses (355) or physicians (368), p=0.006.
Conclusion: Student pharmacists, with appropriate oversight, can be used in several tasks that previously may have been designated to pharmacists only, such as medication reconciliation.
Databáze: MEDLINE