Table 3.
Medication management practices
| N (%)* | |
|---|---|
|
| |
| Who is responsible for conducting medication reconciliation at discharge? | |
| Discharging physician, physician assistant or nurse practitioner | |
| Never | 14 (2.6%) |
| Sometimes | 42 (7.9%) |
| Usually | 76 (14.2%) |
| Always | 403 (75.3%) |
| Nurse | |
| Never | 55 (10.3%) |
| Sometimes | 51 (9.6%) |
| Usually | 49 (9.2%) |
| Always | 379 (71.0%) |
| Pharmacist | |
| Never | 313 (58.7%) |
| Sometimes | 163 (30.6%) |
| Usually | 21 (3.9%) |
| Always | 36 (6.8%) |
| Responsibility not formally assigned | |
| Never | 458 (86.3%) |
| Sometimes | 23 (4.3%) |
| Usually | 21 (4.0%) |
| Always | 29 (5.5%) |
| Tools in place to facilitate medication reconciliation (select all that apply) | |
| Paper-based standardization form | 292 (54.4%) |
| Electronic medical record/web-based form | 396 (73.7%) |
|
| |
| How often does each of the following occur as part of the medication reconciliation process at your hospital? | |
| Emergency medicine staff obtains medication history. | |
| Never | 3 (0.6%) |
| Sometimes | 40 (7.5%) |
| Usually | 154 (28.8%) |
| Always | 338 (63.2%) |
| Admitting medical team obtains medication history. | |
| Never | 8 (1.5%) |
| Sometimes | 33 (6.2%) |
| Usually | 98 (18.3%) |
| Always | 396 (74.0%) |
| Pharmacist or pharmacy technician obtains medication history. | |
| Never | 248 (46.4%) |
| Sometimes | 161 (30.2%) |
| Usually | 47 (8.8%) |
| Always | 78 (14.6%) |
| Contact is made with outside pharmacies. | |
| Never | 78 (14.6%) |
| Sometimes | 369 (69.2%) |
| Usually | 69 (13.0%) |
| Always | 17 (3.2%) |
| Contact is made with primary physician. | |
| Never | 29 (5.4%) |
| Sometimes | 282 (52.8%) |
| Usually | 149 (27.9%) |
| Always | 74 (13.9%) |
| Outpatient and inpatient prescription records are linked electronically. | |
| Never | 327 (61.4%) |
| Sometimes | 93 (17.5%) |
| Usually | 61 (11.4%) |
| Always | 52 (9.8%) |
| Third party prescription database that provides historical fill and refill information (e.g., Health Care Systems). | |
| Never | 444 (83.3%) |
| Sometimes | 55 (10.3%) |
| Usually | 15 (2.8%) |
| Always | 19 (3.6%) |
| All patients (or their caregivers) receive at the time of discharge information about the purpose of each medication, which medications are new, which medications have changed in dose or frequency, and/or which medications are to be stopped | 412 (77.2%) |
|
| |
| Hospital promotes use of teach-back techniques (having the patient “teach” new information back to educator) for patient and family education | 374 (69.8) |
*
Number missing by item ranged from 0 to 6