Hospital pharmacy medication reconciliation practice in Jordan: perceptions and barriers

Hammour, Khawla Abu; Farha, Rana Abu; Basheti, Iman A.

doi:10.1111/jep.12565

Cited by 24 publications

(18 citation statements)

References 16 publications

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“…A previous study, not directly focusing on medication reconciliation, showed that student pharmacists and faculty identified more than 1000 medication-related problems, 4.3% of which were related to medication reconciliation [27]. A study assessing hospital pharmacy medication reconciliation practice in Jordan (a neighboring country) showed relatively low awareness of the concept and policy of medication reconciliation process among Jordanian pharmacists [28]. To our knowledge, there are no published studies addressing medication reconciliation in Lebanon.…”

Section: Introductionmentioning

confidence: 99%

Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals

Karaoui

Chamoun

Fakhir

et al. 2019

BMC Health Serv Res

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Background The Institute for Healthcare Improvement identifies medication reconciliation as the shared responsibility of nurses, pharmacists, and physicians, where each has a defined role. The study aims to assess the clinical impact of pharmacy-led medication reconciliation performed on day one of hospital admission to the internal medicine service. Methods This is a pilot prospective study conducted at two tertiary care teaching hospitals in Lebanon. Student pharmacists who were properly trained and closely supervised, collected the medication history, and pharmacists at the corresponding sites performed the reconciliation process. Interventions related to the unintended discrepancies were relayed to the medical team. The main outcome was the number of unintended discrepancies identified. The time needed for medication history, and the information sources used to complete the Best Possible Medication History were also assessed. The unintended discrepancies were classified by medication class and route of medication administration, by potential severity, and by proximal cause leading to the discrepancy. For the bivariate and multivariable analysis, the dependent variable was the incidence of unintended discrepancies. The “total number of unintended discrepancies” was dichotomized into yes (≥ 1 unintended discrepancy) or no (0 unintended discrepancies). Independent variables tested for their association with the dependent variable consisted of the following: gender, age, creatinine clearance, number of home medications, allergies, previous adverse drug reactions, and number of information sources used to obtain the BPMH. Results were assumed to be significant when p was < 0.05. Results During the study period, 204 patients were included, and 195 unintended discrepancies were identified. The most common discrepancies consisted of medication omission (71.8%), and the most common agents involved were dietary supplements (27.7%). Around 36% of the unintended discrepancies were judged as clinically significant, and only 1% were judged as serious. The most common interventions included the addition of a medication (71.8%) and the adjustment of a dose (12.8%). The number of home medications was significantly associated with the occurrence of unintended discrepancies (ORa = 1.11 (1.03–1.19) p = 0.007). Conclusions Pharmacy-led medication reconciliation upon admission, along with student pharmacist involvement and physician communication can reduce unintended discrepancies and improve medication safety and patient outcomes. Electronic supplementary material The online version of this article (10.1186/s12913-019-4323-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals

Karaoui

Chamoun

Fakhir

et al. 2019

BMC Health Serv Res

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“…Only a few studies are available on the value and practice of medication reconciliation from health care institutions outside USA and Europe. A recent study demonstrated a relatively low awareness of the concept and policy of medication reconciliation process among pharmacists (Hammour et al, 2016). There are also hardly any data from Saudi Arabia and from developing countries that discuss medication reconciliation process at discharge from the hospital.…”

Section: Introductionmentioning

confidence: 99%

Medication discrepancies identified during medication reconciliation among medical patients at a tertiary care hospital

Al-Rashoud

Alammari

Aljadhey

et al. 2017

Saudi Pharmaceutical Journal

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“…The image on the current practice of medication reconciliation is not clear in Jordan; that is why many healthcare providers were not aware of the medication reconciliation concept. This was evident in a previous study by Abu Hammour et al, which showed a low level of awareness and understanding about the medication reconciliation process among Jordanian hospital pharmacists [33]. Low awareness about medication reconciliation in Jordan may be due to the lack of training workshops, scientific meetings or conferences, the lack of university curricula focusing on the extra roles that can be played by the pharmacists.…”

Section: Discussionmentioning

confidence: 97%

Medication histories documentation at the community pharmacy setting: A study from Jordan

et al. 2019

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ObjectivesThe main objective of this study was to evaluate community pharmacists’ awareness and perception about medication reconciliation service and to assess the completeness of collecting patients’ medication histories in the community pharmacy setting.MethodsA cross-sectional study was conducted between February to March 2018 in Amman-Jordan. During the study period, 150 community pharmacists were invited to participate in the study. Each pharmacist completed a validated structured questionnaire evaluating their awareness, current practice, perceived attitude and perceived barriers towards the implementation of medication reconciliation and the collection of medication histories at the community pharmacy setting.ResultsA total of 121 pharmacists agreed to participate and filled the questionnaire. Our results showed that only 13.2% of the pharmacists were able to define “medication reconciliation” correctly, and around 31% have a misconception that the medication reconciliation process should be performed only at the inpatient setting.Only 19.8% (n = 24) of the participating pharmacists stated that they ask all patients for a complete current medication list of medications when they arrive at the pharmacy site. Medication histories for most patients were lacking information about the dosage, route, frequency, and time of the last refill for each medication listed. “Patients lack of awareness about all the medications they are receiving” was the main barrier discouraging community pharmacists from collecting medication histories and participating in reconciliation service.ConclusionCommunity pharmacists in Jordan showed a low awareness about the medication reconciliation concept and demonstrated a modest role in obtaining medication histories in community pharmacies. But still, they showed a positive attitude towards their role in implementing the different steps of medication reconciliation. This suggests that educational workshops to increase pharmacists’ awareness about their role and responsibilities in collecting a complete and accurate medication history are warrented.

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Hospital pharmacy medication reconciliation practice in Jordan: perceptions and barriers

Cited by 24 publications

References 16 publications

Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals

Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals

Medication discrepancies identified during medication reconciliation among medical patients at a tertiary care hospital

Medication histories documentation at the community pharmacy setting: A study from Jordan

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