Medication Reconciliation: An Educational Module

Introduction Patients often transition between health care settings, such as office to hospital, hospital to nursing facility, or hospital to home. When a patient is admitted, it is imperative that clinicians review prior medication lists along with new orders to reconcile any discrepancies. This pr...

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Autores principales:	Paula E. Lester, Sukhminder Sahansra, Mark Shen, Maria Becker, Shahidul Islam
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Medication Reconciliation Transitions of Care Transitional Care Hospitalization Postacute Care Subacute Care Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/27f4b1acf1ae40f28d3c5cc82d307d8f
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spelling	oai:doaj.org-article:27f4b1acf1ae40f28d3c5cc82d307d8f2021-11-22T13:59:32ZMedication Reconciliation: An Educational Module10.15766/mep_2374-8265.108522374-8265https://doaj.org/article/27f4b1acf1ae40f28d3c5cc82d307d8f2019-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10852https://doaj.org/toc/2374-8265Introduction Patients often transition between health care settings, such as office to hospital, hospital to nursing facility, or hospital to home. When a patient is admitted, it is imperative that clinicians review prior medication lists along with new orders to reconcile any discrepancies. This process should occur in a standardized manner to reduce medication errors leading to adverse events and patient harm. Methods We developed this program as an instructional method via PowerPoint to teach the importance of accurate medication reconciliation. We implemented the program in multiple grand rounds settings with students, trainees, and attending physicians in internal medicine and surgery. Approximately 150 learners attended the sessions. We assessed learners with pre/post self-efficacy assessment (74 completed precourse surveys, 39 completed posttest surveys, and 49 participated in the audience response during the course) and multiple-choice knowledge questions. Results The results of the postcourse knowledge assessment demonstrated improvement in every question we tested, with two of the improvements reaching statistical significance. We found that 30% of attendees were not at all confident or only somewhat confident in conducting an appropriate medication reconciliation on admission to the hospital. Additionally, 82% of respondents reported that the presentation was likely or extremely likely to improve their medication reconciliation efforts. Discussion Our educational program was successful in improving learners' knowledge in every question we tested; however, only two of the improvements were statistically significant. Our program is an organized and effective tool for teaching effective and reliable medication reconciliation.Paula E. LesterSukhminder SahansraMark ShenMaria BeckerShahidul IslamAssociation of American Medical CollegesarticleMedication ReconciliationTransitions of CareTransitional CareHospitalizationPostacute CareSubacute CareMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medication Reconciliation Transitions of Care Transitional Care Hospitalization Postacute Care Subacute Care Medicine (General) R5-920 Education L
spellingShingle	Medication Reconciliation Transitions of Care Transitional Care Hospitalization Postacute Care Subacute Care Medicine (General) R5-920 Education L Paula E. Lester Sukhminder Sahansra Mark Shen Maria Becker Shahidul Islam Medication Reconciliation: An Educational Module
description	Introduction Patients often transition between health care settings, such as office to hospital, hospital to nursing facility, or hospital to home. When a patient is admitted, it is imperative that clinicians review prior medication lists along with new orders to reconcile any discrepancies. This process should occur in a standardized manner to reduce medication errors leading to adverse events and patient harm. Methods We developed this program as an instructional method via PowerPoint to teach the importance of accurate medication reconciliation. We implemented the program in multiple grand rounds settings with students, trainees, and attending physicians in internal medicine and surgery. Approximately 150 learners attended the sessions. We assessed learners with pre/post self-efficacy assessment (74 completed precourse surveys, 39 completed posttest surveys, and 49 participated in the audience response during the course) and multiple-choice knowledge questions. Results The results of the postcourse knowledge assessment demonstrated improvement in every question we tested, with two of the improvements reaching statistical significance. We found that 30% of attendees were not at all confident or only somewhat confident in conducting an appropriate medication reconciliation on admission to the hospital. Additionally, 82% of respondents reported that the presentation was likely or extremely likely to improve their medication reconciliation efforts. Discussion Our educational program was successful in improving learners' knowledge in every question we tested; however, only two of the improvements were statistically significant. Our program is an organized and effective tool for teaching effective and reliable medication reconciliation.
format	article
author	Paula E. Lester Sukhminder Sahansra Mark Shen Maria Becker Shahidul Islam
author_facet	Paula E. Lester Sukhminder Sahansra Mark Shen Maria Becker Shahidul Islam
author_sort	Paula E. Lester
title	Medication Reconciliation: An Educational Module
title_short	Medication Reconciliation: An Educational Module
title_full	Medication Reconciliation: An Educational Module
title_fullStr	Medication Reconciliation: An Educational Module
title_full_unstemmed	Medication Reconciliation: An Educational Module
title_sort	medication reconciliation: an educational module
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/27f4b1acf1ae40f28d3c5cc82d307d8f
work_keys_str_mv	AT paulaelester medicationreconciliationaneducationalmodule AT sukhmindersahansra medicationreconciliationaneducationalmodule AT markshen medicationreconciliationaneducationalmodule AT mariabecker medicationreconciliationaneducationalmodule AT shahidulislam medicationreconciliationaneducationalmodule
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Medication Reconciliation: An Educational Module

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