Back to Search
Start Over
Accuracy of best possible medication histories by pharmacy students: an observational study.
- Source :
-
International journal of clinical pharmacy [Int J Clin Pharm] 2023 Apr; Vol. 45 (2), pp. 414-420. Date of Electronic Publication: 2022 Dec 14. - Publication Year :
- 2023
-
Abstract
- Background: Medication reconciliation is an effective strategy to prevent medication errors upon hospital admission and requires obtaining a patient's best possible mediation history (BPMH). However, obtaining a BPMH is time-consuming and pharmacy students may assist pharmacists in this task.<br />Aim: To evaluate the proportion of patients who have an accurate BPMH from the pharmacy student-obtained BPMH compared to the pharmacist-obtained BPMH.<br />Method: Twelve final-year pharmacy students were trained to obtain BPMHs upon admission at 2 tertiary hospitals and worked in pairs. Each student pair completed one 8-h shift each week for 8 weeks. Students obtained BPMHs for patients taking 5 or more medications. A pharmacist then independently obtained and checked the student BPMH from the same patient for accuracy. Deviations were determined between student-obtained and pharmacist-obtained BMPH. An accurate BPMH was defined as only having no-or-low risk medication deviations.<br />Results: The pharmacy students took BPMHs for 91 patients. Of these, 65 patients (71.4%) had an accurate BPMH. Of the 1170 medications included in patients' BPMH, 1118 (95.6%) were deemed accurate. For the student-obtained BPMHs, they were more likely to be accurate for patients who were older (OR 1.04; 95% CI 1.03-1.06; p < 0.001), had fewer medications (OR 0.85; 95% CI 0.75-0.97; p = 0.02), and if students used two source types (administration and supplier) to obtain the BPMH (OR 1.65; 95% CI 1.09-2.50; p = 0.02).<br />Conclusion: It is suitable for final-year pharmacy students to be incorporated into the BPMHs process and for their BPMHs to be verified for accuracy by a pharmacist.<br /> (© 2022. Crown.)
Details
- Language :
- English
- ISSN :
- 2210-7711
- Volume :
- 45
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- International journal of clinical pharmacy
- Publication Type :
- Academic Journal
- Accession number :
- 36515780
- Full Text :
- https://doi.org/10.1007/s11096-022-01516-2