[Assessment of perception about medication reconciliation among healthcare professionals at Saint-Justine hospital]

Ann Pharm Fr. 2016 Jul;74(4):304-16. doi: 10.1016/j.pharma.2015.11.004. Epub 2015 Dec 28.
[Article in French]

Abstract

Objectives: Our main objective is to assess nurses and doctors perception about medication reconciliation.

Methods: This is a descriptive and cross-sectional study. We have created three surveys, one for each health worker (nurses, doctors, resident, pharmacists). Each survey consists of single or multi-choice closed questions. A four-point Likert scale was used to collect the perception. Descriptive statistics have been calculated.

Results: A total of 114 nurses, 98 doctors and residents and 26 pharmacists from all care services, replied to the survey. The majority of doctors (58%), pharmacists (60%) and nurses (52%) recognized the relevance and utility of medication reconciliation in healthcare safety. However, few healthcare professionals (6% of doctors, 13% of nurses et 46% of pharmacists) know that medication reconciliation is a required organizational practice. Only 25% of doctors always consult the best possible medication history after a patient admission while the majority do not use it because of unreliability issues. So, there have been some major changes to optimize medication reconciliation process in our hospital.

Conclusion: This study shows a increasing interest to medication reconciliation by healthcare professionals. However, the use of medication reconciliation remains marginal.

Keywords: Best possible medication history; Bilan comparatif des médicaments; Conciliation médicamenteuse; Discrepancy; Divergences; Hospitalisation; Medication reconciliation; Medications; Meilleur schéma thérapeutique possible; Médicaments.

MeSH terms

  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Drug Prescriptions*
  • Hospitals
  • Humans
  • Medication Reconciliation / methods*
  • Nurses
  • Patient Safety
  • Pharmacists
  • Pharmacy Service, Hospital
  • Physicians