Category: Professional Posters
Purpose: Accurate medication records are essential in preventing errors, avoiding harm, aiding diagnosis and treatment planning. Medicines Reconciliation “the formal process in which healthcare professionals partner with patients to ensure accurate and complete medication information transfer at interfaces of care” ensures accurate medication record generation. MR is undertaken to varying degrees in many institutions, by a variety of healthcare professionals each with their own focus, priorities and methods.
• To determine views and opinions of doctors towards a pharmacist-led MR service in an acute hospital setting
• To ascertain what doctors identify as barriers and facilitators to MR.
Methods: A self-completion questionnaire used mixed methodology through open and closed question styles to accurately gather prescriber views and opinions on the pharmacist-led MR Service.
Results: The positive impact on patient care and safety demonstrated by MR was acknowledged by 98% (n=50) of respondents. Forty-nine respondents, 94%, agreed MR saved them time while 92% (n=48) recognised MR decreased their workload. Participants were satisfied with the MMUH MR Service, 90% (n=46) and 94% (n=49) agreed MR is accurate. Participants called for dedication of pharmacy resources to MR, 88% (n=46), and service expansion to include all patients on admission, care transition and discharge was advocated by participants, 79% (n=41), 86% (n=44) and 79% (n=41) respectively. The most important MR facilitator was verbal communication of MR discrepancies. The most important barrier was current service limitations. Thematic analysis of 138 classifiable responses identified four themes, patient safety (n=33), workload implications (n=9), MR usefulness (n=52) and service development (n=56). Some comments overlapped themes.
Conclusion: Prescribers view the pharmacist-led MR Service as a positive, useful initiative saving prescribers time and increasing patient care and safety hospital wide.