Continuity of care with a one-click medication history program: Patient’s in-home medications at a glance

Cho, Jungwon; Lee, Eun-Sook; Lee, Kee Hyuck; Lee, Ho-Young; Lee, Euni

doi:10.1016/j.ijmedinf.2022.104710

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…The program enabled health professionals to access the patients’ nationwide medication history swiftly and accurately from the Healthcare Insurance Review and Assessment Service database in South Korea with added features about the patient instructions and the identification guide for each medication. The rate of identification of patients’ medication history within 24 hours was significantly improved at the ED after the implementation of the program [ 19 ]. However, comprehensive evaluations of querying patient medication history were necessary to provide a balanced picture of the medication history program, as an HIS intervention could have had an impact not only on the care process but also on humanistic outcomes, such as end-user experience about its functionality and usability, which may evolve over time.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Nationwide Medication History Sharing Program on the Care Process and End-User Experience in a Tertiary Teaching Hospital: Cohort Study and Cross-Sectional Study

Cho,

Yoo,

Lee

et al. 2024

JMIR Med Inform

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Background Timely and comprehensive collection of a patient’s medication history in the emergency department (ED) is crucial for optimizing health care delivery. The implementation of a medication history sharing program, titled “Patient’s In-home Medications at a Glance,” in a tertiary teaching hospital aimed to efficiently collect and display nationwide medication histories for patients’ initial hospital visits. Objective As an evaluation was necessary to provide a balanced picture of the program, we aimed to evaluate both care process outcomes and humanistic outcomes encompassing end-user experience of physicians and pharmacists. Methods We conducted a cohort study and a cross-sectional study to evaluate both outcomes. To evaluate the care process, we measured the time from the first ED assessment to urgent percutaneous coronary intervention (PCI) initiation from electronic health records. To assess end-user experience, we developed a 22-item questionnaire using a 5-point Likert scale, including 5 domains: information quality, system quality, service quality, user satisfaction, and intention to reuse. This questionnaire was validated and distributed to physicians and pharmacists. The Mann-Whiteny U test was used to analyze the PCI initiation time, and structural equation modeling was used to assess factors affecting end-user experience. Results The time from the first ED assessment to urgent PCI initiation at the ED was significantly decreased using the patient medication history program (mean rank 42.14 min vs 28.72 min; Mann-Whitney U=346; P=.03). A total of 112 physicians and pharmacists participated in the survey. Among the 5 domains, “intention to reuse” received the highest score (mean 4.77, SD 0.37), followed by “user satisfaction” (mean 4.56, SD 0.49), while “service quality” received the lowest score (mean 3.87, SD 0.79). “User satisfaction” was significantly associated with “information quality” and “intention to reuse.” Conclusions Timely and complete retrieval using a medication history-sharing program led to an improved care process by expediting critical decision-making in the ED, thereby contributing to value-based health care delivery in a real-world setting. The experiences of end users, including physicians and pharmacists, indicated satisfaction with the program regarding information quality and their intention to reuse.

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Section: Introductionmentioning

confidence: 99%

Impact of a Nationwide Medication History Sharing Program on the Care Process and End-User Experience in a Tertiary Teaching Hospital: Cohort Study and Cross-Sectional Study

Cho,

Yoo,

Lee

et al. 2024

JMIR Med Inform

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Enhancing Medication History Accuracy in a Tertiary Hospital: Pharmacist‐Led Counseling With Nationwide Medication History Sharing Program Versus Conventional Methods

Chae,

Yoon,

Park

et al. 2024

International Journal of Clinical Practice

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Aims: Medication discrepancies during transitions of care pose substantial risks, particularly in older patients receiving complex medication regimens. Obtaining the best possible medication history (BPMH) is crucial to minimize this risk. This study aimed to evaluate the effectiveness of a pharmacist‐led BPMH using various information sources including a nationwide medication history sharing program compared to conventional interviews in a tertiary hospital setting. In addition, we identified factors contributing to medication inaccuracies.Methods: A single‐center prospective study involving older patients scheduled for thoracic surgery at a tertiary hospital was conducted. Medication histories obtained through conventional interviews during the initial assessment on admission were compared with those obtained through BPMH by pharmacist‐led interviews. Logistic regression analysis was used to identify factors associated with medication inaccuracies.Results: This study included 216 patients, a significant proportion of whom were experiencing polypharmacy. The pharmacist‐led BPMH approach demonstrated superior accuracy in documenting medication histories, with conventional methods showing inaccuracies in over 70% of the cases. Factors that significantly increased the likelihood of inaccuracies included the number of medications and number of prescribers. Nonoral and as‐needed medications are particularly prone to inaccuracies.Conclusions: Pharmacist‐led BPMH significantly improved medication history accuracy compared to conventional methods, which had inaccuracies in over 70%. It is important to be careful when obtaining BPMH for older adults, particularly those with complex medication regimens, nonoral medications, or PRN medications, to enhance patient safety and reduce medication‐related risks.Trial Registration: Clinical Trial Registry identifier: KCT-006813.

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Development of a Team-Based Clinical Pharmacy Service for Surgical Intensive Care Unit at an Academic Teaching Hospital

You,

Jung,

Kim

et al. 2024

J. Korean Soc. Health-Syst. Pharm.

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Continuity of care with a one-click medication history program: Patient’s in-home medications at a glance

Cited by 3 publications

References 18 publications

Impact of a Nationwide Medication History Sharing Program on the Care Process and End-User Experience in a Tertiary Teaching Hospital: Cohort Study and Cross-Sectional Study

Impact of a Nationwide Medication History Sharing Program on the Care Process and End-User Experience in a Tertiary Teaching Hospital: Cohort Study and Cross-Sectional Study

Enhancing Medication History Accuracy in a Tertiary Hospital: Pharmacist‐Led Counseling With Nationwide Medication History Sharing Program Versus Conventional Methods

Development of a Team-Based Clinical Pharmacy Service for Surgical Intensive Care Unit at an Academic Teaching Hospital

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