Pharmacy technicians obtaining medication histories within the emergency department

Knight, Holly; Edgerton, Lisa; Foster, Ryan W.

doi:10.2146/ajhp090367

Cited by 20 publications

(12 citation statements)

References 4 publications

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“…7 Knight et al reported a mean of 27 minutes per patient to collect a medication history. 8 Strunk et al reported a 98% decrease in unreconciled medications per patient when a pharmacist was involved in medication reconciliation. 9 This process improvement initiative did not directly assess adverse drug events or detail potential adverse drug event avoidance.…”

Section: Discussionmentioning

confidence: 99%

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Smith

Mango

2013

Hosp Pharm

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Background: Pharmacists and pharmacy technicians have an opportunity to impact the quality of the medication histories and improve patient safety by ensuring accurate medication lists are obtained and complete reconciliation has occurred with the admission medication orders by owning the admission medication reconciliation process. Objective: To compare the quality of a pharmacy-based medication reconciliation program on admission utilizing pharmacists and technicians to the usual multidisciplinary process. Methods: This was a retrospective chart review process improvement study at a 186-bed tertiary care inpatient facility. Primary outcomes included both the accuracy of pre-admission medications listed and the reconciliation of those medications with admission inpatient orders. Technicians obtained patient medication histories. Pharmacists checked the technician-obtained medication histories and ensured reconciliation of those medications with admission orders. Results: Medication accuracy increased from 45.8% to 95% per patient (P , .001) and medication reconciliation increased from 44.2% to 92.8% (P , .001) and remained above benchmark. Conclusion: A pharmacy-based medication reconciliation program utilizing both pharmacists and technicians significantly increased the accuracy and reconciliation of medications on admission. These gains were maintained for the duration of the 6-month period studied and beyond per continued process improvement data collection.

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Section: Discussionmentioning

confidence: 99%

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Smith

Mango

2013

Hosp Pharm

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“…It was observed that pharmacy technicians took 12 to 33 minutes to obtain a medication history, which included time spent contacting outside sources. 7,[13][14][15] Lizer and Brackbill found pharmacy technicians took 8 minutes to review a patient's chart and home medication bottles.…”

Section: Pharmacy Techniciansmentioning

confidence: 99%

Pharmacy Students and Pharmacy Technicians in Medication Reconciliation: A Review of the Current Literature

Champion

Loosen

Kennelty

2017

Journal of Pharmacy Practice

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“…Pharmacy technicians and other support personnel can help obtain and organize relevant patient data for assessment by the clinical pharmacist in both direct patient care and population health initiatives. Many examples involving pharmacy technicians in the medication reconciliation process exist, 34,35,58,59,[63][64][65][66][67][68][69][70][71] and successful examples are available in a wide range of practices and settings, including emergency departments, 59,[63][64][65][66]72 pediatrics, 67 geriatrics, 68 hemodialysis units, 69 mental health, 70 and academic medical centers 58 and in preoperative screenings. 71 Medication histories from certified technicians are at least as accurate as medication histories from other members of the health care team.…”

Section: Assessment Of the Patientmentioning

confidence: 99%

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

Borchert

Phillips

Bastin

et al. 2018

J Am Coll Clin Pharm

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Changes to the U.S. health care landscape have increased the focus on the quality and use of alternative payment models, with a growing focus on value. As health care costs continue to rise, clinical pharmacists will increasingly engage in roles to expand the breadth and depth of clinical services in providing comprehensive medication management (CMM) to improve patient outcomes. The roles of pharmacy technicians and other support personnel must evolve to meet the needs created by this practice change and allow pharmacists to focus their services on activities that use their expertise to improve medication outcomes. Support personnel, including pharmacy technicians, should be identified to assist with clinical pharmacy tasks on the basis of their skills. To ensure competence, support personnel should be adequately trained and (if applicable) certified. Moreover, support personnel should be optimally incorporated into appropriate components of the clinical pharmacist's process of care to expand the reach and depth of clinical pharmacy services. When supervised by the pharmacist or others as defined in state practice acts, support personnel may be able to assist in the clinical pharmacist's provision of CMM. Finally, research should be conducted and disseminated on the utility and outcomes achieved using support personnel in the clinical pharmacist's process of care.

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Pharmacy technicians obtaining medication histories within the emergency department

Cited by 20 publications

References 4 publications

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Pharmacy Students and Pharmacy Technicians in Medication Reconciliation: A Review of the Current Literature

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

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