Attitudes about medication reconciliation (n = 616)
|
How important is medication reconciliation in the patient care process? |
Not Important |
0 (0%) |
Somewhat important |
14 (2%) |
Important |
101 (16%) |
Very important |
501 (81%) |
How important is it that medication reconciliation occurs at every visit. |
Not Important |
2 (<1%) |
Somewhat important |
41 (7%) |
Important |
133 (22%) |
Very important |
440 (71%) |
The process of medication reconciliation is standardized across Geisinger. |
Strongly Disagree |
66 (11%) |
Disagree |
162 (26%) |
Neither Agree Nor Disagree |
150 (24%) |
Agree |
186 (30%) |
Strongly Agree |
52 (8%) |
Having a standardized process for medication reconciliation across Geisinger would be beneficial. |
Strongly Disagree |
8 (1%) |
Disagree |
3 (<1%) |
Neither Agree Nor Disagree |
18 (3%) |
Agree |
216 (35%) |
Strongly Agree |
371 (60%) |
I have a well-defined role and know what I am responsible for in the medication reconciliation process. |
Strongly Disagree |
11 (2%) |
Disagree |
41 (7%) |
Neither Agree Nor Disagree |
65 (11%) |
Agree |
255 (41%) |
Strongly Agree |
244 (40%) |
Comfort with medication reconciliation (n = 610)
|
How comfortable are you with your role in medication reconciliation? |
Not Comfortable |
11 (2%) |
Somewhat Comfortable |
82 (13%) |
Comfortable |
235 (39%) |
Very Comfortable |
282 (46%) |
How comfortable are you adding medications to a patient’s medication list while conducting medication reconciliation? |
Not Comfortable |
42 (7%) |
Somewhat Comfortable |
74 (12%) |
Comfortable |
198 (32%) |
Very Comfortable |
296 (49%) |
How comfortable are you removing medications from a patient’s medication list while conducting medication reconciliation? |
Not Comfortable |
42 (7%) |
Somewhat Comfortable |
89 (15%) |
Comfortable |
198 (32%) |
Very Comfortable |
281 (46%) |
I do not believe it is my responsibility to conduct medication reconciliation. |
Strongly Disagree |
264 (43%) |
Disagree |
204 (33%) |
Neither Agree Nor Disagree |
75 (12%) |
Agree |
41 (7%) |
Strongly Agree |
26 (4%) |
There are unclear guidelines for what I can and cannot remove from patients’ medication lists during medication reconciliation. |
Strongly Disagree |
116 (19%) |
Disagree |
156 (26%) |
Neither Agree Nor Disagree |
131 (21%) |
Agree |
153 (25%) |
Strongly Agree |
54 (9%) |
I am uncomfortable conducting medication reconciliation due to my limited knowledge of medications. |
Strongly Disagree |
319 (52%) |
Disagree |
219 (36%) |
Neither Agree Nor Disagree |
41 (7%) |
Agree |
26 (4%) |
Strongly Agree |
5 (1%) |
I am uncomfortable removing medications I did not prescribe/are not in my area of expertise, |
Strongly Disagree |
162 (27%) |
Disagree |
150 (25%) |
Neither Agree Nor Disagree |
98 (16%) |
Agree |
149 (24%) |
Strongly Agree |
51 (8%) |
Experience with medication reconciliation (n = 599)
|
While conducting medication reconciliation have you ever found an error which had the potential to cause harm to the patient? |
Yes |
332 (55%) |
No |
268 (45%) |
While conducting medication reconciliation have you ever identified an error which you believe did cause harm to the patient? |
Yes |
81 (14%) |
No |
518 (86%) |
How often do you identify errors on patients’ medication lists? |
Never |
14 (2%) |
Rarely |
268 (45%) |
About half the time |
232 (39%) |
Most of the time |
73 (12%) |
Always |
12 (2%) |
After you finish conducting medication reconciliation, how confident are you that a patient’s medication list is an accurate reflection of the medications they are taking? |
Not Confident |
15 (3%) |
Somewhat Confident |
191 (32%) |
Confident |
300 (50%) |
Very Confident |
93 (16%) |
How often do patients bring in their medication bottles from home to visits? |
Never |
37 (6%) |
Rarely |
442 (74%) |
About half the time |
110 (18%) |
Most of the time |
9 (2%) |
Always |
1 (<1%) |
Do you ask patients to bring in their medication bottles from home to visits? |
Yes |
293 (49%) |
No |
306 (51%) |
How often do patients bring in a medication list from home to visits? |
Never |
15 (3%) |
Rarely |
235 (39%) |
About half the time |
277 (46%) |
Most of the time |
70 (12%) |
Always |
2 (<1%) |
If patients were to bring their medication bottles or a medication list to visits, it would help me in my role of conducting medication reconciliation. |
Strongly Disagree |
7 (1%) |
Disagree |
12 (2%) |
Neither Agree Nor Disagree |
58 (10%) |
Agree |
243 (41%) |
Strongly Agree |
279 (47%) |
Barriers with medication reconciliation (n = 593)
|
How often do you encounter the following barriers to conducting medication reconciliation? |
Patients are not knowledgeable about their medications. |
Never |
2 (<1%) |
Rarely |
68 (11%) |
About half the time |
330 (56%) |
Most of the time |
177 (30%) |
Always |
16 (3%) |
I do not have time to conduct a thorough medication reconciliation/other tasks take priority. |
Never |
115 (19%) |
Rarely |
216 (36%) |
About half the time |
133 (22%) |
Most of the time |
99 (17%) |
Always |
30 (5%) |
Patients do not want to participate. |
Never |
62 (10%) |
Rarely |
334 (56%) |
About half the time |
157 (26%) |
Most of the time |
37 (6%) |
Always |
3 (1%) |
There are language barriers between myself and some patients. |
Never |
75 (13%) |
Rarely |
457 (77%) |
About half the time |
48 (8%) |
Most of the time |
11 (2%) |
Always |
2 (<1%) |
Patients receive healthcare outside of Geisinger. |
Never |
4 (1%) |
Rarely |
191 (32%) |
About half the time |
347 (59%) |
Most of the time |
45 (8%) |
Always |
5 (1%) |
Entering patient reported medication in the Electronic Health Record is difficult. |
Never |
171 (29%) |
Rarely |
275 (46%) |
About half the time |
89 (15%) |
Most of the time |
38 (6%) |
Always |
20 (3%) |
Other |
Never |
462 (78%) |
Rarely |
50 (8%) |
About half the time |
56 (9%) |
Most of the time |
13 (2%) |
Always |
12 (2%) |
Training on medication reconciliation (n = 592)
|
Have you ever had a formal training focusing on medication reconciliation from Geisinger? |
Yes |
175 (30%) |
No |
417 (70%) |
I would benefit from additional training on medication reconciliation. |
Strongly Disagree |
68 (11%) |
Disagree |
104 (18%) |
Neither Agree Nor Disagree |
198 (33%) |
Agree |
180 (30%) |
Strongly Agree |
42 (7%) |