Impact of a Pharmacy-Led Medication History Program in the Emergency Center of a Large, Academic Hospital

dc.contributor.advisorBirtcher, Kim K.
dc.contributor.committeeMemberFernandez, Julianna M.
dc.contributor.committeeMemberVarghese, Shaji
dc.contributor.committeeMemberPatel, Krupa R.
dc.contributor.committeeMemberErowele, Goldina
dc.creatorAdibe, Cindy
dc.date.accessioned2018-06-22T21:51:31Z
dc.date.available2018-06-22T21:51:31Z
dc.date.createdMay 2018
dc.date.issued2018-05
dc.date.submittedMay 2018
dc.date.updated2018-06-22T21:51:31Z
dc.description.abstractPURPOSE: To evaluate the medication-related errors identified in medication histories completed by pharmacist extenders and pharmacists, compared to medication histories completed by emergency center providers, for patients admitted through the emergency center at a large, academic hospital. METHODS: This 10-week pilot study used pharmacist extenders to complete medication histories on patients admitted from the emergency center. Pharmacist extenders were provided with standardized training to complete the histories and document within the patient’s electronic medical record (EMR). Emergency center providers completed medication histories for patients prior to admission and served as the control group. Pharmacist extenders and pharmacists served as the intervention group and completed medication histories for the same patients, but after the patient's status changed to admission status. The primary objective is to quantify the number of medication discrepancies captured on medication histories completed by pharmacist extenders and pharmacists compared to medication histories completed by emergency center providers. The secondary objectives included identifying types of errors and discrepancies captured by pharmacy students and pharmacists, cost impact on the institution, average time to complete a medication history by a pharmacy student, the number of errors by therapeutic class, and the types of errors by therapeutic class. RESULTS: Pharmacist extenders captured 328 discrepancies (P<0.001, 95% CI: 2.41-3.36) on 113 medication histories. The majority of discrepancies captured were discontinued/not taking drug. The majority of discrepancies by therapeutic class were associated with analgesic medications. CONCLUSION: Pharmacy involvement within the medication reconciliation process demonstrated positive outcomes.
dc.description.departmentPharmacy Practice and Translational Research, Department of
dc.format.digitalOriginborn digital
dc.format.mimetypeapplication/pdf
dc.identifier.urihttp://hdl.handle.net/10657/3083
dc.language.isoeng
dc.rightsThe author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).
dc.subjectTransitions of care
dc.subjectMedication reconciliation
dc.subjectMedication Safety
dc.subjectMedication Errors
dc.subjectPatient safety
dc.subjectMedication history
dc.titleImpact of a Pharmacy-Led Medication History Program in the Emergency Center of a Large, Academic Hospital
dc.type.dcmiText
dc.type.genreThesis
thesis.degree.collegeCollege of Pharmacy
thesis.degree.departmentPharmacy Practice and Translational Research, Department of
thesis.degree.disciplinePharmacy Leadership & Administration
thesis.degree.grantorUniversity of Houston
thesis.degree.levelMasters
thesis.degree.nameMaster of Science

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