What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult?

2.50
Hdl Handle:
http://hdl.handle.net/10755/335165
Category:
Full-text
Type:
Presentation
Title:
What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult?
Other Titles:
Using EBP Within the Elderly Population
Author(s):
Von Eeden, Lorraine A.
Lead Author STTI Affiliation:
Alpha Zeta
Author Details:
Lorraine A. Von Eeden, DNP, CPNP/ FNP, RN, lv01447n@pace.edu
Abstract:
Session presented on Saturday, July 26, 2014: To study the role of the pharmacist in optimizing medication reconciliation strategies and the potential impact on medication related problems in community dwelling older adults. Purpose: To determine what effect a pharmacist-led intervention can have on medication reconciliation strategies/medication errors in the community dwelling older adult. Methods: This review considered studies that evaluated the effects of medication reconciliation strategies on medication errors in community dwelling older adults. The target population was older adults, 65 years and older and living in the community. Excluded were any older adults with dementia or who were dependent on family members or other individuals for the provision of care. The primary outcome measure studied in this review was number of medication errors. Results: This review yielded three studies for consideration; 2 level one randomized controlled trials (RCTs), and 1 level three prospective randomized comparative study. Each study presented evidence to support the positive outcomes of a pharmacist led medication reconciliation process on medication errors for community dwelling older adults. The way in which the pharmacist conducted the medication reconciliation process, however, varied greatly in each of these studies. Reconciliation processes included: medication reconciliation and review face-to-face with patients in the physician's office; home visits with patients; and a reconciliation process that stemmed from a team based approach to care. Implications for practice This review suggests that clinicians support pharmacist-led medication reconciliation, specifically for older adults residing in community settings. This support is integral to the health of the older adults in terms of identifying and preventing medication errors, and in the development of appropriate recommendations to primary care providers for appropriate medication adjustments. Implications for Research This review underscores the need for continued research in order to determine the effectiveness of pharmacist led medication reconciliation strategies on medication errors in the community dwelling older adults. Additionally, there is a need to develop more research initiatives that study medication reconciliation within a team-based approach; a need for more evidence-based information relating to interdisciplinary team functioning. Research should focus on who the members of the team are, roles and responsibilities of each team member, what facilitates the effectiveness of a team, and most importantly, the impact on medication errors. Additionally the context within which medication reconciliation is carried out, such as types of settings - in the patient's home, in the pharmacy, in the primary care provider's office - warrants future research.
Keywords:
MEDICATION RECONCILIATION; OLDER ADULTS; MEDICATION ERRORS
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14E14
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleWhat Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult?en
dc.title.alternativeUsing EBP Within the Elderly Populationen
dc.contributor.authorVon Eeden, Lorraine A.en
dc.contributor.departmentAlpha Zetaen
dc.author.detailsLorraine A. Von Eeden, DNP, CPNP/ FNP, RN, lv01447n@pace.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335165-
dc.description.abstractSession presented on Saturday, July 26, 2014: To study the role of the pharmacist in optimizing medication reconciliation strategies and the potential impact on medication related problems in community dwelling older adults. Purpose: To determine what effect a pharmacist-led intervention can have on medication reconciliation strategies/medication errors in the community dwelling older adult. Methods: This review considered studies that evaluated the effects of medication reconciliation strategies on medication errors in community dwelling older adults. The target population was older adults, 65 years and older and living in the community. Excluded were any older adults with dementia or who were dependent on family members or other individuals for the provision of care. The primary outcome measure studied in this review was number of medication errors. Results: This review yielded three studies for consideration; 2 level one randomized controlled trials (RCTs), and 1 level three prospective randomized comparative study. Each study presented evidence to support the positive outcomes of a pharmacist led medication reconciliation process on medication errors for community dwelling older adults. The way in which the pharmacist conducted the medication reconciliation process, however, varied greatly in each of these studies. Reconciliation processes included: medication reconciliation and review face-to-face with patients in the physician's office; home visits with patients; and a reconciliation process that stemmed from a team based approach to care. Implications for practice This review suggests that clinicians support pharmacist-led medication reconciliation, specifically for older adults residing in community settings. This support is integral to the health of the older adults in terms of identifying and preventing medication errors, and in the development of appropriate recommendations to primary care providers for appropriate medication adjustments. Implications for Research This review underscores the need for continued research in order to determine the effectiveness of pharmacist led medication reconciliation strategies on medication errors in the community dwelling older adults. Additionally, there is a need to develop more research initiatives that study medication reconciliation within a team-based approach; a need for more evidence-based information relating to interdisciplinary team functioning. Research should focus on who the members of the team are, roles and responsibilities of each team member, what facilitates the effectiveness of a team, and most importantly, the impact on medication errors. Additionally the context within which medication reconciliation is carried out, such as types of settings - in the patient's home, in the pharmacy, in the primary care provider's office - warrants future research.en
dc.subjectMEDICATION RECONCILIATIONen
dc.subjectOLDER ADULTSen
dc.subjectMEDICATION ERRORSen
dc.date.available2014-11-17T13:45:54Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:45:54Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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