Category: Professional Posters
Purpose: The purpose of this study is to demonstrate the impact of using advanced pharmacy practice experience (APPE) students in the collection of admission medication histories at an academic teaching hospital prior to pharmacist medication reconciliation.
Methods: This study is a retrospective, descriptive study. Using electronic medical records, the study looked at patients admitted to 9 different units during a two-month period. The primary objective of this study was to assess the clinical impact of utilizing APPE students in the collection of admission medication histories. The secondary objective was to evaluate the time and potential cost savings by utilizing APPE students to complete medication histories.
Results: Over eight weeks, the APPE students identified 2,666 discrepancies, which equates to approximately 4.71 ± 4.76 discrepancies per patient. The majority of these discrepancies were identified as omissions of therapy (39.1%), followed by medications the patients were no longer taking that had remained on the medication list (29.8%), and wrong dosing frequencies (18.1%). The total average time spent on medication histories was 240.38 hours with a potential cost savings of $14,067.04.
Conclusion: APPE students assist in the medication reconciliation process by identifying numerous medication discrepancies which may have prevented patient harm. APPE students can be used as pharmacy extenders to provide valuable services at little cost to the health entity.