MedManage: The development of a tool to assist medication reconciliation in a rural primary care clinic.

Abstract:

BACKGROUND:Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH) toolkit with nursing staff in a rural primary care clinic. METHODS:The research team conducted 38 chart audits of high-risk patients, and preintervention and postintervention were conducted to assess changes in medications reported by patients. The intervention included a chart audit tool and medication reconciliation tool created by the interdisciplinary team, MedManage, were pilot tested in the clinic. CONCLUSIONS:The Use of MedManage resulted in improvements in patient reporting of over-the-counter (82% of patients reported previously unrecorded OTCs), PRN medications (3% unreported), and herbal supplements/vitamins (28% reported previously unrecorded vitamins). IMPLICATIONS FOR PRACTICE:MedManage may be an effective tool to assist clinical nursing staff to attain a more complete and accurate medication list from patients and should be assessed more broadly across rural primary care clinics.

journal_name

J Am Assoc Nurse Pract

authors

Jarrett T,Cochran J,Baus A,Delmar K

doi

10.1097/JXX.0000000000000197

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

760-765

issue

12

eissn

2327-6886

issn

2327-6924

journal_volume

31

pub_type

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