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Prior to the PCIP implementation medication transactions were only documented on occasion and records were not organized in a manner conducive for retrieval.
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DCH's pre-implementation medication vulnerabilities were similar to those described by other tertiary care institutions and have been reported previously in an analysis of both voluntarily reported events and ADEs detected by computerized surveillance [ 24].
These data have implications for the design and successful implementation of medication reminder systems and interventions.
Many of the states hardest hit by the opioid epidemic, like Kentucky, Ohio, West Virginia and Massachusetts, used Medicaid expansion to strengthen their implementation of Medication Assisted Treatment (MAT) like buprenorphine and methadone, with Medicaid paying for between 35 percent and 50percentt of MAT in those states.
Other research also focuses on electronic tools as driving the implementation of medication reconciliation [ 36].
Our study found several barriers to the implementation of medication reconciliation.
The barriers and drivers we identified can help to develop strategies for improving the implementation of medication reconciliation.
A multidisciplinary team should be involved from the start comprising all stakeholders in the implementation of medication reconciliation.
We identified a wide range of barriers and drivers which health care professionals believe influence the implementation of medication reconciliation.
The board of the hospital in this study assigned one professional (SN) to facilitate the implementation of medication reconciliation.
Strategies can be drawn up to improve the implementation of medication reconciliation based on the barriers and drivers identified.
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