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MedManage: The development of a tool to assist medication reconciliation in a rural primary care clinic.
- Source :
-
Journal of the American Association of Nurse Practitioners [J Am Assoc Nurse Pract] 2019 Dec; Vol. 31 (12), pp. 760-765. - Publication Year :
- 2019
-
Abstract
- Background: Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH) toolkit with nursing staff in a rural primary care clinic.<br />Methods: The research team conducted 38 chart audits of high-risk patients, and preintervention and postintervention were conducted to assess changes in medications reported by patients. The intervention included a chart audit tool and medication reconciliation tool created by the interdisciplinary team, MedManage, were pilot tested in the clinic.<br />Conclusions: The Use of MedManage resulted in improvements in patient reporting of over-the-counter (82% of patients reported previously unrecorded OTCs), PRN medications (3% unreported), and herbal supplements/vitamins (28% reported previously unrecorded vitamins).<br />Implications for Practice: MedManage may be an effective tool to assist clinical nursing staff to attain a more complete and accurate medication list from patients and should be assessed more broadly across rural primary care clinics.
Details
- Language :
- English
- ISSN :
- 2327-6924
- Volume :
- 31
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of the American Association of Nurse Practitioners
- Publication Type :
- Academic Journal
- Accession number :
- 30829980
- Full Text :
- https://doi.org/10.1097/JXX.0000000000000197