Effective medication reconciliation is critical in reducing the risk of preventable adverse drug events.
Effective medication reconciliation is critical in reducing the risk of preventable ADEs.
Organizations such as the Accreditation Council for Graduate Medical Education, however, have recognized effective medication reconciliation as an important aspect of quality improvement and emphasized that it be an educational goal [ 34].
A systematic review suggests that the most effective medication reconciliation interventions are those that utilize pharmacy staff and focus on patients at high risk for adverse events [ 6].
Although effective medication reconciliation represents a critical component of safe transitioning from or between healthcare settings, medical trainees have traditionally received little or no formal training and/or tools for eliciting a proper medication history, review and reconciliation [ 33].
In fact, many organizations have begun developing and evaluating such systems as well as applications that link electronic medical records (EMR) and inpatient computerized physician order entry systems (CPOE) to facilitate effective medication reconciliation [ 41- 44].
Although most residents (79%) felt that the encounter was realistic and 61% reported increased confidence as a result of the exercise, only 37.2% of the residents were considered 'high performers' in carrying out effective medication reconciliation.
The objective of this systematic review is to identify studies, of any type, reporting on educational interventions aimed at improving the knowledge and skill of medical trainees (i.e. medical students, residents) in carrying out effective medication reconciliation, and to determine which educational interventions are most effective.
In the study conducted by Mann et al., while 61% reported an increase in confidence after the educational exercise involving a 15-minute standardized patient interview, only 37.2% of the residents were considered 'high performers' in carrying out effective medication reconciliation [ 30].
In the absence of formation-damage effects, the reconciliation of petrophysically- and dynamically-derived effective permeabilities over a tested interval is diagnostic of uniform reservoir character.
