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Evaluating pharmacist based medication reconciliation: a literature review and case study

Malenka, Nicholas (2013) Evaluating pharmacist based medication reconciliation: a literature review and case study. Master Essay, University of Pittsburgh.

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Medication errors are common through all phases of a hospitalization and represent a significant patient safety risk. Medication errors lead to Adverse Drug Events which are the most common type of error experienced in a hospital. Such events represent a significant public health issue and have gained national attention. Despite this attention, the current financial structure of the United States’ healthcare system inhibits providers from fully embracing efforts to reduce medication errors. Medication Reconciliation is the act of completing a medication history and correcting discrepancies between a patient’s previous medication regimen and the proposed medication order. Medication reconciliation characterizes a sustainable solution that can significantly reduce medication errors if performed correctly. Often, medication reconciliation is performed by a nursing admissions team or physicians, despite the research that proves pharmacists are suited best. When pharmacists perform medication reconciliation it denotes the most effective solution for reducing drug related errors. A case study of a large academic medical system’s Emergency Department examined the effectiveness of a nursing based medication reconciliation process. A pharmacist reviewed medication histories performed by a nursing admissions team to assess the prevalence and type of medication discrepancies. Interviews with key stakeholders conveyed the barriers in creating an effective medication reconciliation process.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Malenka, Nicholas
Date: 18 April 2013
Date Type: Submission
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 06 May 2015 15:36
Last Modified: 20 Dec 2018 00:55


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